J04UpcomingCategory · further specificity required

Acute laryngitis and tracheitis

Code-level instructions

Use additional code

code (B95-B97) to identify infectious agent.

Code also

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

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

Chapters 10 · Inherited instructions

Use additional code

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)

J00-J06 · Inherited instructions

Excludes 1

chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)

Excludes 2 · 10

J04

Excludes 2

laryngismus (stridulus) (J38.5)

Chapters 10 · Diseases of the respiratory system (J00-J99)

Excludes 2

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)

More specific codes

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

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2021

ChangedUnchanged

FY2021

Effective from 2020-10-01

Code-level rules changed
Inherited rules changed

Acute laryngitis and tracheitis

Category — select a more specific code

CDC/NCHS · FY2021

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	Inherited rules changed
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	Code-level rules changed · Inherited rules changed
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	No tabular change
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

Excludes 1

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

Excludes 2

laryngismus (stridulus) (J38.5)

Use additional code

code (B95-B97) to identify infectious agent.

Code also

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)

Inherited instructions

Chapters 10 · Diseases of the respiratory system (J00-J99)

Excludes 2

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 code

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)

Note

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).

J00-J06 · Acute upper respiratory infections (J00-J06)

Excludes 1

chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)

More specific codes

J04.0Acute laryngitisBillable / specific J04.1Acute tracheitisCategory · further specificity required J04.2Acute laryngotracheitisBillable / specific J04.3Supraglottitis, unspecifiedCategory · further specificity required

Related codes

Official titles and instructions are preserved in their source language. Official sources ↗

Code-level instructions

Use additional code

code (B95-B97) to identify infectious agent.

Code also

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

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

Chapters 10 · Inherited instructions

Use additional code

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)

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Official coding guidelines → · CMS ↗

All editions

Effective from

Code history

FY2016

2015-10-01

First observed

FY2017

2016-10-01

Inherited rules changed

FY2018

2017-10-01

No tabular change

FY2019

2018-10-01

No tabular change

FY2020

2019-10-01

No tabular change

FY2020 · April

2020-04-01

No tabular change

FY2021

2020-10-01

Code-level rules changed · Inherited rules changed

FY2021 · 01-01

2021-01-01

No tabular change

FY2022

2021-10-01

No tabular change

FY2022 · 04-01

2022-04-01

No tabular change

FY2023

2022-10-01

No tabular change

FY2023 · 04-01

2023-04-01

No tabular change

FY2024

2023-10-01

No tabular change

FY2024 · 04-01

2024-04-01

No tabular change

FY2025

2024-10-01

No tabular change

FY2025 · 04-01

2025-04-01

No tabular change

FY2026

2025-10-01

No tabular change

FY2026 · April

2026-04-01

No tabular change

FY2027

2026-10-01

No tabular change

Code-level instructions

Excludes 1

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

Excludes 2

laryngismus (stridulus) (J38.5)

Use additional code

code (B95-B97) to identify infectious agent.

Code also

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)

Inherited instructions

Chapters 10 · Diseases of the respiratory system (J00-J99)

Excludes 2

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 code

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)

Note

J00-J06 · Acute upper respiratory infections (J00-J06)

Excludes 1

chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)