J04

Non-Billable
ChapterJ00–J99
Rankcategory
Official Description

Acute laryngitis and tracheitis

Metadata & Insights
  • •2026 ICD-10-CM Edition - Effective October 1, 2025.
  • •Non-billable category (requires more specific sub-code).
  • •Chapter 10: Diseases of the Respiratory System (J00-J99).

CH10 Parent Instructions

Excludes2(Not included here)
  • 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
  • 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)

J00-J06 Parent Instructions

Excludes1(Not coded here)
  • chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)

Instructional Notes

Excludes1(Not coded here)
  • acute obstructive laryngitis [croup] and epiglottitis (J05.-)
Excludes2(Not included here)
  • laryngismus (stridulus) (J38.5)
Code Also
  • influenza, if present, such as:
  • influenza due to identified novel influenza A virus with other respiratory manifestations (J09.X2)
  • influenza due to other identified influenza virus with other respiratory manifestations (J10.1)
  • influenza due to unidentified influenza virus with other respiratory manifestations (J11.1)
Use Additional Code
  • code (B95-B97) to identify infectious agent.

Clinical Hierarchy

CH10Diseases of the respiratory system (J00-J99)
J00-J06Acute upper respiratory infections (J00-J06)
J04Acute laryngitis and tracheitis
J04.0Acute laryngitis
J04.1Acute tracheitis
J04.2Acute laryngotracheitis
J04.3Supraglottitis, unspecified

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to J04:

blockJ00-J06
Acute upper respiratory infections (J00-J06)
View context instructions
chapterCH10
Diseases of the respiratory system (J00-J99)
View context instructions

Alphabetic Index Mentions

These are Diagnosis Index lookup paths that route to J04. Use them as entry terms for search, then confirm final coding instructions in the Tabular List and notes above.

16 raw paths
Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer)1 unique routes
laryngitis→J04
Glottitis1 unique routes
Direct index entry→J04
Laryngitis (acute) (edematous) (fibrinous) (infective) (infiltrative) (malignant) (membranous) (phlegmonous) (pneumococcal) (pseudomembranous) (septic) (subglottic) (suppurative) (ulcerative)5 unique routes
Direct index entry→J04
H. influenzae→J04
Hemophilus influenzae→J04
spasmodic
acute→J04
streptococcal→J04
Laryngotracheitis (acute) (Infectional) (infective) (viral)3 unique routes
Direct index entry→J04
Hemophilus influenzae→J04
streptococcal→J04
Supraglottitis2 unique routes
Direct index entry→J04
with obstruction→J04
Tracheitis (catarrhal) (infantile) (membranous) (plastic) (septal) (suppurative) (viral)4 unique routes
Direct index entry→J04
acute→J04(2 variants)
with obstruction→J04
with
laryngitis (acute)→J04

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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