J04

J04: Acute laryngitis and tracheitis

Non-billable headerICD-10-CM

J04 is a non-billable header ICD-10-CM code for acute laryngitis and tracheitis. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

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

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

laryngismus (stridulus) (J38.5)

Use additional code

Add a secondary code to capture the detail described below.

code (B95-B97) to identify infectious agent.

Code also

Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.

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)

Other codes that can never be billed with J04

Their own Excludes1 notes name this code, so the conflict is not listed above.

J38Diseases of vocal cords and larynx, not elsewhere classified
J38.4Edema of larynx

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead J04

4 child codes. Green means billable.