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    v1.0.28
    OpenPayerBilling CodesAcute upper respiratory infectionsICD-10-CM j04-acute-laryngitis-and-tracheitis
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    ICD-10-CM Code For Acute Laryngitis And Tracheitis: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group J04 includes acute laryngitis and acute tracheitis diagnoses, covering inflammation and infection of the larynx and trachea often presenting with hoarseness, cough, stridor, or respiratory distress. These ICD-10-CM diagnosis codes are used to document clinical encounters for short-term upper airway inflammation, capturing symptom severity, site of infection, and any complications such as airway compromise. Accurate coding within the ICD-10-CM J04 group supports proper claim adjudication and ensures complete clinical documentation for appropriate reimbursement.

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    ICD-10-CM J04: Acute Laryngitis And Tracheitis Overview

    The ICD-10-CM J04 group represents acute inflammatory conditions of the larynx and trachea, typically caused by viral or bacterial infection or irritant exposure. These diagnoses target the upper respiratory tract, specifically the voice box and windpipe, and can affect breathing and phonation. Accurate coding matters for correct claim processing and to reflect the level of clinical care provided.

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    When to Use

    Use a code from this group when a patient presents with an acute onset of laryngeal or tracheal inflammation confirmed by clinical examination or diagnostic testing. Select the code that best specifies the anatomical site and any documented complications or severity indicators.

    ICD-10-CM Codes

    6 rows

    ICD-10-CM CodeDescription
    J04.0Acute laryngitis
    J04.10Acute tracheitis without obstruction
    J04.11Acute tracheitis with obstruction
    J04.2Acute laryngotracheitis
    J04.30Supraglottitis, unspecified, without obstruction
    J04.31Supraglottitis, unspecified, with obstruction

    DRG Codes

    7 rows

    DRG CodeDescription
    011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC
    012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC
    013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC
    152Otitis Media and URI with MCC
    153Otitis Media and URI without MCC
    202Bronchitis and Asthma with CC/MCC
    203Bronchitis and Asthma without CC/MCC

    Typical Clinical Scenarios

    • An adult presents to the urgent care clinic with a 48-hour history of sudden onset hoarseness, sore throat, painful swallowing, low-grade fever, and a harsh barking cough after a recent upper respiratory viral illness. On exam the larynx appears inflamed without stridor and the patient has no evidence of lower respiratory infection; the provider documents acute inflammation localized to the larynx and upper trachea, so an acute laryngotracheitis diagnosis is assigned. Typical codes: J04.0, J04.30
    • A young child arrives at the emergency department with rapid onset inspiratory stridor, marked respiratory distress, drooling, and a muffled voice following several days of congestion and fever; lateral neck radiograph shows subglottic narrowing consistent with croup. Because the presentation is an acute, potentially severe inflammation of the larynx and trachea requiring urgent airway assessment and treatment, an acute laryngotracheobronchial-type diagnosis from this group is documented. Typical codes: J04.11, J04.31
    • An adult with known chronic voice overuse develops a sudden severe exacerbation of throat pain, hoarseness, and productive cough after a bacterial bronchitis; examination reveals acute laryngitis superimposed on chronic laryngeal irritation without systemic toxicity. The clinician documents an acute infectious laryngitis episode as a comorbid acute upper airway condition accompanying the bronchial infection. Typical codes: J04.2, J04.10

    Related Codes

    J00-ACUTE-NASOPHARYNGITIS-COMMON-COLD

    ICD-10-CM Code For Acute Nasopharyngitis Common Cold: Group Overview

    J01-ACUTE-SINUSITIS

    ICD-10-CM Code For Acute Sinusitis: Group Overview

    J02-ACUTE-PHARYNGITIS

    ICD-10-CM Code For Acute Pharyngitis: Group Overview

    J03-ACUTE-TONSILLITIS

    ICD-10-CM Code For Acute Tonsillitis: Group Overview

    J05-ACUTE-OBSTRUCTIVE-LARYNGITIS-AND-EPIGLOTTITIS

    ICD-10-CM Code For Acute Obstructive Laryngitis And Epiglottitis: Group Overview

    J06-ACUTE-UPPER-RESPIRATORY-INFECTIONS

    ICD-10-CM Code For Acute Upper Respiratory Infections Of Multiple And Unspecified Sites: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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