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  2. ICD-10-CM Codes List
  3. J00–J99
  4. J30-J39
  5. Diseases of vocal cords and larynx, not elsewhere classified (J38)

Diseases of vocal cords and larynx, not elsewhere classified (J38)

The ICD-10 code section J38 covers diseases of the vocal cords and larynx that are not classified elsewhere. These codes categorize a range of specific voice and throat conditions affecting vocal cord function, structure, or the larynx itself.

This section includes codes for paralysis of vocal cords and larynx (J38.0 and its subcodes), which cover unilateral, bilateral, or unspecified vocal cord paralysis; terms also known as laryngeal paresis or vocal cord palsy. Conditions like polyps and nodules of vocal cords (J38.1 and J38.2) are common voice-related issues, sometimes called singers' nodes or vocal cord ulcers. The group also includes a variety of other vocal cord disorders such as cysts, granulomas, and spastic dysphonia (J38.3), as well as edema of the larynx (J38.4), known by terms like Reinke’s edema. Conditions causing laryngeal spasm (J38.5) and stenosis of the larynx (J38.6) are included, addressing airway complications. Lastly, J38.7 captures other less common laryngeal diseases such as laryngeal webs, cysts, and inflammatory or degenerative disorders. Understanding these codes helps accurately identify and document specific vocal cord and larynx disorders for diagnosis and treatment guidance.

Instructional Notations

Type 1 Excludes

A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

  • congenital laryngeal stridor P28.89
  • obstructive laryngitis acute J05.0
  • postprocedural subglottic stenosis J95.5
  • stridor R06.1
  • ulcerative laryngitis J04.0

Clinical Terms

The following clinical terms provide additional context, helping users better understand the clinical background and common associations for each diagnosis listed in this section. Including related terms alongside ICD-10-CM codes supports coders, billers, and healthcare professionals in improving accuracy, enhancing documentation, and facilitating research or patient education.

Laryngismus

A disorder in which the adductor muscles of the VOCAL CORDS exhibit increased activity leading to laryngeal spasm. Laryngismus causes closure of the VOCAL FOLDS and airflow obstruction during inspiration.

Laryngomalacia

A congenital or acquired condition of underdeveloped or degeneration of CARTILAGE in the LARYNX. This results in a floppy laryngeal wall making patency difficult to maintain.

Vocal Cord Paralysis

Congenital or acquired paralysis of one or both VOCAL CORDS. This condition is caused by defects in the CENTRAL NERVOUS SYSTEM, the VAGUS NERVE and branches of LARYNGEAL NERVES. Common symptoms are VOICE DISORDERS including HOARSENESS or APHONIA.