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J04Non-billableSave

J04 - Acute laryngitis and tracheitis

ICD-10-CM Chapter 10: Diseases of the respiratory system · J00-J06 Acute upper respiratory infections (J00-J06) · Top-level category · FY2027

Coding Guidance

J04 is a non-billable heading. Report one of the 4 more specific codes below.

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom J04

Mutually exclusive: these conditions are never reported together with this code.

  • acute obstructive laryngitis [croup] and epiglottitis (J05.-)
Excludes 2 — Not Included HereFrom J04

Not part of this code; report both codes when the patient has both conditions.

  • laryngismus (stridulus) (J38.5)
Use Additional CodeFrom J04

Add a secondary code to identify the associated condition or cause when it is documented.

  • code (B95-B97) to identify infectious agent.
Code AlsoFrom J04

Report an additional code when both conditions apply.

  • 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)
Excludes 1 — Not Coded HereFrom J00-J06 Acute upper respiratory infections (J00-J06)

Mutually exclusive: these conditions are never reported together with this code.

  • chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)
Excludes 2 — Not Included HereFrom Chapter J00-J99

Not part of this code; report both codes when the patient has both conditions.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • smoke inhalation (T59.81-)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Use Additional CodeFrom Chapter J00-J99

Add a secondary code to identify the associated condition or cause when it is documented.

  • code, where applicable, to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)
NotesFrom Chapter J00-J99

Instructional notes from the ICD-10-CM tabular list.

  • When a respiratory condition is described as occurring in more than one site and is not specifically indexed, it should be classified to the lower anatomic site (e.g. tracheobronchitis to bronchitis in J40).

More Specific Codes (4)

J04.0Acute laryngitis→J04.1Acute tracheitis→J04.2Acute laryngotracheitis→J04.3Supraglottitis, unspecified→

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with J04.