J04

Non-Billable

ChapterJ00–J99

Rankcategory

Official Description

Acute laryngitis and tracheitis

Use a more specific code (2 billable, 2 non-billable)

J04.0Acute laryngitis J04.1Acute tracheitishas subcodes J04.2Acute laryngotracheitis J04.3Supraglottitis, unspecifiedhas subcodes

Metadata & Insights

•Non-billable category (requires more specific sub-code).
•Chapter 10: Diseases of the Respiratory System (J00-J99).

CH10 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)

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. Use a different code.)

chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)

Instructional Notes

Excludes1(Not coded here. Use a different code.)

acute obstructive laryngitis [croup] and epiglottitis (J05.-)

Excludes2(Not included here. Code separately if applicable.)

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

BillableHas subcodes

CH10Diseases of the respiratory system (J00-J99)

J00-J06Acute upper respiratory infections (J00-J06)

J04Acute laryngitis and tracheitisNot billable

J04.0Acute laryngitisBillable

J04.1Acute tracheitisSubcodes

J04.2Acute laryngotracheitisBillable

J04.3Supraglottitis, unspecifiedSubcodes

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

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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