J04

Acute laryngitis and tracheitis

FY2027Chapter 10: Diseases of the respiratory system/J00–J06 Acute upper respiratory infections

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

J04 is a non-billable ICD-10-CM code category for acute laryngitis and tracheitis. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are J04.0 Acute laryngitis; J04.1 Acute tracheitis; J04.2 Acute laryngotracheitis and J04.3 Supraglottitis, unspecified. Its coding notes include a Use additional code instruction, a Code also instruction, 2 Excludes1 entries and 10 Excludes2 entries.

Use additional code

Add the listed code as a secondary code, if known.

This code
  • code (B95-B97) to identify infectious agent.
Also from chapter/block level (7 notes)
Inherited from Chapter 10 Diseases of the respiratory system
  • 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)

Code also

Two codes may be needed to describe the condition. This note gives no sequencing order.

This code
  • 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)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code
  • acute obstructive laryngitis [croup] and epiglottitis (J05.-)
Also from chapter/block level (1 note)
Inherited from J00–J06 Acute upper respiratory infections
  • chronic obstructive pulmonary disease with acute lower respiratory infection (J44.0)

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
  • laryngismus (stridulus) (J38.5)
Also from chapter/block level (9 notes)
Inherited from Chapter 10 Diseases of the respiratory system
  • 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)

Notes

Also from chapter/block level (1 note)
Inherited from Chapter 10 Diseases of the respiratory system
  • 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 under J04 4