J38

Non-Billable
ChapterJ00–J99
Rankcategory
Official Description

Diseases of vocal cords and larynx, not elsewhere classified

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)

Instructional Notes

Excludes1(Not coded here. Use a different code.)
  • congenital laryngeal stridor (P28.89)
  • obstructive laryngitis (acute) (J05.0)
  • postprocedural subglottic stenosis (J95.5)
  • stridor (R06.1)
  • ulcerative laryngitis (J04.0)

Clinical Hierarchy

BillableHas subcodes
CH10Diseases of the respiratory system (J00-J99)
J30-J39Other diseases of upper respiratory tract (J30-J39)
J38Diseases of vocal cords and larynx, not elsewhere classifiedNot billable
J38.0Paralysis of vocal cords and larynxSubcodes
J38.1Polyp of vocal cord and larynxBillable
J38.2Nodules of vocal cordsBillable
J38.3Other diseases of vocal cordsBillable
J38.4Edema of larynxBillable
J38.5Laryngeal spasmBillable
J38.6Stenosis of larynxBillable
J38.7Other diseases of larynxBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to J38:

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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