2021 ICD-10-CM Diagnosis Code J38.4

Edema of larynx

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • J38.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM J38.4 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of J38.4 - other international versions of ICD-10 J38.4 may differ.
Applicable To
  • Edema (of) glottis
  • Subglottic edema
  • Supraglottic edema
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 J38.4. 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] (
    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
    )
  • edematous 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 J38.4 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 J38.4:
  • 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
  • J38
    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
    Type 1 Excludes
    • congenital laryngeal stridor (P28.89)
    • obstructive laryngitis (acute) (J05.0)
    • postprocedural subglottic stenosis (J95.5)
    • stridor (R06.1)
    • ulcerative laryngitis (J04.0)
    Use Additional
    • code 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 vocal cords and larynx, not elsewhere classified
Approximate Synonyms
  • Reinke's edema
  • Reinkes edema
Clinical Information
  • A disorder characterized by swelling due to an excessive accumulation of fluid in the larynx.
  • Abnormal accumulation of fluid in tissues of any part of the larynx, commonly associated with laryngeal injuries and allergic reactions.
  • Swelling due to an excessive accumulation of fluid in the larynx.
ICD-10-CM J38.4 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 011 Tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc
  • 012 Tracheostomy for face, mouth and neck diagnoses or laryngectomy with cc
  • 013 Tracheostomy for face, mouth and neck diagnoses or laryngectomy without cc/mcc
  • 154 Other ear, nose, mouth and throat diagnoses with mcc
  • 155 Other ear, nose, mouth and throat diagnoses with cc
  • 156 Other ear, nose, mouth and throat diagnoses without cc/mcc

Convert J38.4 to ICD-9-CM

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
Code annotations containing back-references to J38.4:
  • Type 1 Excludes: R60
    ICD-10-CM Diagnosis Code R60

    Edema, not elsewhere classified

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes

Diagnosis Index entries containing back-references to J38.4:
  • Edema, edematous (infectious) (pitting) (toxic) R60.9
    ICD-10-CM Diagnosis Code R60.9

    Edema, unspecified

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Fluid retention NOS

ICD-10-CM Codes Adjacent To J38.4
J37.0 Chronic laryngitis
J37.1 Chronic laryngotracheitis
J38 Diseases of vocal cords and larynx, not elsewhere classified
J38.0 Paralysis of vocal cords and larynx
J38.00 …… unspecified
J38.01 …… unilateral
J38.02 …… bilateral
J38.1 Polyp of vocal cord and larynx
J38.2 Nodules of vocal cords
J38.3 Other diseases of vocal cords
J38.4 Edema of larynx
J38.5 Laryngeal spasm
J38.6 Stenosis of larynx
J38.7 Other diseases of larynx
J39 Other diseases of upper respiratory tract
J39.0 Retropharyngeal and parapharyngeal abscess
J39.1 Other abscess of pharynx
J39.2 Other diseases of pharynx
J39.3 Upper respiratory tract hypersensitivity reaction, site unspecified
J39.8 Other specified diseases of upper respiratory tract
J39.9 Disease of upper respiratory tract, unspecified

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