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ICD-10-CM Codes
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J00-J99
Diseases of the respiratory system
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J30-J39
Other diseases of upper respiratory tract
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J38-
Diseases of vocal cords and larynx, not elsewhere classified
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2021 ICD-10-CM Diagnosis Code J38
2021 ICD-10-CM Diagnosis Code J38
Diseases of vocal cords and larynx, not elsewhere classified
2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
- J38 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 J38 became effective on October 1, 2020.
- This is the American ICD-10-CM version of J38 - other international versions of ICD-10 J38 may differ.
Use AdditionalUse 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 to identify:
- exposure to environmental tobacco smoke (
ICD-10-CM Diagnosis Code Z77.22
Contact with and (suspected) exposure to environmental tobacco smoke (acute) (chronic)
2016 2017 2018 2019 2020 2021 Billable/Specific Code
Applicable To- Exposure to second hand tobacco smoke (acute) (chronic)
- Passive smoking (acute) (chronic)
Type 2 Excludes- occupational exposure to environmental tobacco smoke (Z57.31)
Z77.22) - exposure to tobacco smoke in the perinatal period (
ICD-10-CM Diagnosis Code P96.81
Exposure to (parental) (environmental) tobacco smoke in the perinatal period
2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
Type 2 Excludes- newborn affected by in utero exposure to tobacco (P04.2)
- exposure to environmental tobacco smoke after the perinatal period (Z77.22)
P96.81) - history of tobacco dependence (
ICD-10-CM Diagnosis Code Z87.891
Personal history of nicotine dependence
2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
Type 1 Excludes- current nicotine dependence (F17.2-)
Z87.891) - occupational exposure to environmental tobacco smoke (
ICD-10-CM Diagnosis Code Z57.31
Occupational exposure to environmental tobacco smoke
2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
Type 2 Excludes- exposure to environmental tobacco smoke (Z77.22)
Z57.31) - tobacco dependence (
ICD-10-CM Diagnosis Code F17
- F17 Nicotine dependence
- F17.2 Nicotine dependence
- F17.20 Nicotine dependence, unspecified
- F17.200 Nicotine dependence, unspecified, uncomplicat...
- F17.201 Nicotine dependence, unspecified, in remissio...
- F17.203 Nicotine dependence unspecified, with withdra...
- F17.208 Nicotine dependence, unspecified, with other ...
- F17.209 Nicotine dependence, unspecified, with unspec...
- F17.21 Nicotine dependence, cigarettes
- F17.210 Nicotine dependence, cigarettes, uncomplicate...
- F17.211 Nicotine dependence, cigarettes, in remission...
- F17.213 Nicotine dependence, cigarettes, with withdra...
- F17.218 Nicotine dependence, cigarettes, with other n...
- F17.219 Nicotine dependence, cigarettes, with unspeci...
- F17.22 Nicotine dependence, chewing tobacco
- F17.220 Nicotine dependence, chewing tobacco, uncompl...
- F17.221 Nicotine dependence, chewing tobacco, in remi...
- F17.223 Nicotine dependence, chewing tobacco, with wi...
- F17.228 Nicotine dependence, chewing tobacco, with ot...
- F17.229 Nicotine dependence, chewing tobacco, with un...
- F17.29 Nicotine dependence, other tobacco product
- F17.290 Nicotine dependence, other tobacco product, u...
- F17.291 Nicotine dependence, other tobacco product, i...
- F17.293 Nicotine dependence, other tobacco product, w...
- F17.298 Nicotine dependence, other tobacco product, w...
- F17.299 Nicotine dependence, other tobacco product, w...
F17.-) - tobacco use (
ICD-10-CM Diagnosis Code Z72.0
Tobacco use
2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt
Type 1 Excludes- history of tobacco dependence (Z87.891)
- nicotine dependence (F17.2-)
- tobacco dependence (F17.2-)
- tobacco use during pregnancy (O99.33-)
Z72.0)
Type 1 ExcludesType 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 J38. 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.
- congenital laryngeal stridor (
ICD-10-CM Diagnosis Code P28.89
Other specified respiratory conditions of newborn
2016 2017 2018 2019 2020 2021 Billable/Specific Code Code on Newborn Record
Applicable To- Congenital laryngeal stridor
- Sniffles in newborn
- Snuffles in newborn
Type 1 Excludes- early congenital syphilitic rhinitis (A50.05)
P28.89) - obstructive laryngitis (acute) (
ICD-10-CM Diagnosis Code J05.0
Acute obstructive laryngitis [croup]
2016 2017 2018 2019 2020 2021 Billable/Specific Code
Applicable To- Obstructive laryngitis (acute) NOS
- Obstructive laryngotracheitis NOS
J05.0) - postprocedural subglottic stenosis (
ICD-10-CM Diagnosis Code J95.5
Postprocedural subglottic stenosis
2016 2017 2018 2019 2020 2021 Billable/Specific Code
J95.5) - stridor (
ICD-10-CM Diagnosis Code R06.1
Stridor
2016 2017 2018 2019 2020 2021 Billable/Specific Code
Type 1 Excludes- congenital laryngeal stridor (P28.89)
- laryngismus (stridulus) (J38.5)
R06.1) - ulcerative laryngitis (
ICD-10-CM Diagnosis Code J04.0
Acute laryngitis
2016 2017 2018 2019 2020 2021 Billable/Specific Code
Applicable To- Edematous laryngitis (acute)
- Laryngitis (acute) NOS
- Subglottic laryngitis (acute)
- Suppurative laryngitis (acute)
- Ulcerative laryngitis (acute)
Type 1 Excludes- acute obstructive laryngitis (J05.0)
Type 2 Excludes- chronic laryngitis (J37.0)
J04.0)
The following code(s) above
J38 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
J38:
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 J38
J35.03 Chronic tonsillitis and adenoiditis
J35.1 Hypertrophy of tonsils
J35.2 Hypertrophy of adenoids
J35.3 Hypertrophy of tonsils with hypertrophy of adenoids
J35.8 Other chronic diseases of tonsils and adenoids
J35.9 Chronic disease of tonsils and adenoids, unspecified
J36 Peritonsillar abscess
J37 Chronic laryngitis and laryngotracheitis
J37.1 Chronic laryngotracheitis
J38
Diseases of vocal cords and larynx, not elsewhere classified
J38.0 Paralysis of vocal cords and larynx
J38.1 Polyp of vocal cord and larynx
J38.2 Nodules of vocal cords
J38.3 Other diseases of vocal cords
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.