J05.11 — Acute epiglottitis with obstruction
J05.11 is a billable, specific ICD-10-CM code for acute epiglottitis with obstruction. It is valid for submission on a claim.
Risk adjustment
J05.11 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
J05.11 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 J05.11 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 J05.11.
- Epiglottitis, epiglottiditis›with obstruction
Related codes at this level
Codes that share J05.1. If J05.11 is not quite right, the correct code is usually one of these.
Questions about J05.11
- Is J05.11 a billable ICD-10-CM code?
- Yes. J05.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does J05.11 sit in the tabular list?
- Diseases of the respiratory system (J00-J99), in the block Acute upper respiratory infections (J00-J06).