J38.1

J38.1: Polyp of vocal cord and larynx

Billable / specific codeICD-10-CM

J38.1 is a billable, specific ICD-10-CM code for polyp of vocal cord and larynx. It is valid for submission on a claim.

Check J38.1 with the rest of the claim: free scrubber

Excludes1: never code together

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

adenomatous polyps (D14.1)

Excludes1 inherited from the categories above J38.1

A category’s note binds every code beneath it.

Written on J38: Diseases of vocal cords and larynx, not elsewhere classified

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

Other codes that can never be billed with J38.1

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

D14.1Benign neoplasm of larynx

Risk adjustment

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

Medicare coverage

J38.1 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
A56868Billing and Coding: Outpatient Speech Language Pathology