J38.0

Paralysis of vocal cords and larynx

FY2027Chapter 10: Diseases of the respiratory system/J30–J39 Other diseases of upper respiratory tract

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

J38.0 is a non-billable ICD-10-CM code header for paralysis of vocal cords and larynx. 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 J38.00 Paralysis of vocal cords and larynx, unspecified; J38.01 Paralysis of vocal cords and larynx, unilateral and J38.02 Paralysis of vocal cords and larynx, bilateral. Its coding notes include a Use additional code instruction, 5 Excludes1 entries and 9 Excludes2 entries.

Use additional code

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

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)

Excludes1

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

Inherited from 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)

Excludes2

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

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)

Inclusion terms

Conditions classified to this code.

This code
  • Laryngoplegia
  • Paralysis of glottis

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 J38.0 3