2021 ICD-10-CM Diagnosis Code J04

Acute laryngitis and tracheitis

    2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
  • J04 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2021 edition of ICD-10-CM J04 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of J04 - other international versions of ICD-10 J04 may differ.
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code (B95-B97
    ICD-10-CM Range B95-B97

    Bacterial and viral infectious agents

    Note
    • These categories are provided for use as supplementary or additional codes to identify the infectious agent(s) in diseases classified elsewhere.
    • B95 Streptococcus, Staphylococcus, and Enter...
    • B96 Other bacterial agents as the cause of d...
    • B97 Viral agents as the cause of diseases cl...
    ) to identify infectious agent.
Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • influenza, if present, such as:
  • influenza due to identified novel influenza A virus with other respiratory manifestations (
    ICD-10-CM Diagnosis Code J09.X2

    Influenza due to identified novel influenza A virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Influenza due to identified novel influenza A virus NOS
    • Influenza due to identified novel influenza A virus with laryngitis
    • Influenza due to identified novel influenza A virus with pharyngitis
    • Influenza due to identified novel influenza A virus with upper respiratory symptoms
    Use Additional
    • code, if applicable, for associated:
    • pleural effusion (J91.8)
    • sinusitis (J01.-)
    J09.X2
    )
  • influenza due to other identified influenza virus with other respiratory manifestations (
    ICD-10-CM Diagnosis Code J10.1

    Influenza due to other identified influenza virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Influenza due to other identified influenza virus NOS
    • Influenza due to other identified influenza virus with laryngitis
    • Influenza due to other identified influenza virus with pharyngitis
    • Influenza due to other identified influenza virus with upper respiratory symptoms
    Use Additional
    • code for associated pleural effusion, if applicable (J91.8)
    J10.1
    )
  • influenza due to unidentified influenza virus with other respiratory manifestations (
    ICD-10-CM Diagnosis Code J11.1

    Influenza due to unidentified influenza virus with other respiratory manifestations

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Influenza NOS
    • Influenzal laryngitis NOS
    • Influenzal pharyngitis NOS
    • Influenza with upper respiratory symptoms NOS
    Use Additional
    • code for associated pleural effusion, if applicable (J91.8)
    J11.1
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as J04. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • acute obstructive laryngitis [croup] and epiglottitis (
    ICD-10-CM Diagnosis Code J05
    • J05 Acute obstructive laryngitis [croup] and epig...
      • J05.0 Acute obstructive laryngitis [croup]
      • J05.1 Acute epiglottitis
        • J05.10 …… without obstruction
        • J05.11 …… with obstruction
    J05.-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (J04) and the excluded code together.
  • laryngismus (stridulus) (
    ICD-10-CM Diagnosis Code J38.5

    Laryngeal spasm

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Laryngismus (stridulus)
    J38.5
    )
The following code(s) above J04 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to J04:
  • J00-J99
    2021 ICD-10-CM Range J00-J99

    Diseases of the respiratory system

    Note
    • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).
    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • smoke inhalation (T59.81-)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Use Additional
    • code, where applicable, to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    Diseases of the respiratory system
  • J00-J06
    2021 ICD-10-CM Range J00-J06

    Acute upper respiratory infections

    Type 1 Excludes
    • chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)
    Acute upper respiratory infections
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
ICD-10-CM Codes Adjacent To J04
J03 Acute tonsillitis
J03.0 Streptococcal tonsillitis
J03.00 Acute streptococcal tonsillitis, unspecified
J03.01 Acute recurrent streptococcal tonsillitis
J03.8 Acute tonsillitis due to other specified organisms
J03.80 Acute tonsillitis due to other specified organisms
J03.81 Acute recurrent tonsillitis due to other specified organisms
J03.9 Acute tonsillitis, unspecified
J03.90 Acute tonsillitis, unspecified
J03.91 Acute recurrent tonsillitis, unspecified
J04 Acute laryngitis and tracheitis
J04.0 Acute laryngitis
J04.1 Acute tracheitis
J04.10 …… without obstruction
J04.11 …… with obstruction
J04.2 Acute laryngotracheitis
J04.3 Supraglottitis, unspecified
J04.30 …… without obstruction
J04.31 …… with obstruction
J05 Acute obstructive laryngitis [croup] and epiglottitis
J05.0 Acute obstructive laryngitis [croup]

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.