Is J04.2 a billable ICD-10-CM code?

Yes. J04.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does J04.2 sit in the tabular list?

Diseases of the respiratory system (J00-J99), in the block Acute upper respiratory infections (J00-J06).

What cannot be coded together with J04.2?

J04.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

J04.2

J04.2 — Acute laryngotracheitis

Billable / specific codeICD-10-CM

J04.2 is a billable, specific ICD-10-CM code for acute laryngotracheitis. It is valid for submission on a claim.

Excludes1 — never code together

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

acute obstructive laryngotracheitis (J05.0)

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.

chronic laryngotracheitis (J37.1)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Laryngotracheitis NOS
Tracheitis (acute) with laryngitis (acute)

Risk adjustment

J04.2 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

J04.2 is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
A56717Billing and Coding: Respiratory Therapy (Respiratory Care)
A56730Billing and Coding: Respiratory Therapy and Oximetry Services
A57205Billing and Coding: Oximetry Services

How J04.2 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to J04.2.

Laryngotracheitis(acute) (Infectional) (infective) (viral)
Laryngotracheitis›Hemophilus influenzae
Laryngotracheitis›streptococcal
Tracheitis›with›laryngitis(acute)

Related codes at this level

Codes that share J04. If J04.2 is not quite right, the correct code is usually one of these.

Questions about J04.2

Is J04.2 a billable ICD-10-CM code?: Yes. J04.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does J04.2 sit in the tabular list?: Diseases of the respiratory system (J00-J99), in the block Acute upper respiratory infections (J00-J06).
What cannot be coded together with J04.2?: J04.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.