Find comprehensive information on subglottic stenosis diagnosis, including clinical documentation, ICD-10 codes (J38.5, J38.6), medical coding guidelines, and healthcare resources. Learn about subglottic stenosis symptoms, treatment options, and long-term management strategies for both pediatric and adult patients. Explore relevant medical terminology, clinical findings, and diagnostic criteria for accurate documentation and coding of subglottic stenosis in healthcare settings.
Also known as
Laryngeal stenosis
Narrowing of the larynx, including the subglottic area.
Other diseases of larynx
May include subglottic stenosis if not otherwise specified.
Acute laryngitis
Inflammation of the larynx which can sometimes cause stenosis.
Other respiratory diseases
A less specific code for respiratory issues potentially related to stenosis.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the subglottic stenosis congenital?
Yes
Code Q31.3 Congenital subglottic stenosis
No
Is it due to intubation/tracheostomy?
When to use each related code
| Description |
|---|
| Narrowing below vocal cords |
| Vocal cord paralysis |
| Laryngomalacia |
Coding subglottic stenosis without specifying congenital or acquired origin leads to inaccurate data and potential DRG misassignment.
Lack of clear documentation of stenosis severity (e.g., mild, moderate, severe) impacts coding accuracy and reimbursement.
Incorrect coding for procedures related to subglottic stenosis (e.g., dilation, tracheostomy) can lead to claim denials.
Subglottic stenosis diagnosed. Patient presents with symptoms consistent with subglottic airway obstruction, including dyspnea, stridor, and exercise intolerance. Onset of symptoms was gradual, reported as progressively worsening over the past [number] months. Patient denies any history of intubation or tracheostomy. Physical examination reveals audible inspiratory stridor. Flexible laryngoscopy demonstrates a concentric narrowing of the subglottic airway, estimated at [percentage] stenosis. Differential diagnosis considered laryngomalacia, vocal cord paralysis, and foreign body aspiration. Diagnosis of subglottic stenosis confirmed by endoscopic evaluation. Severity of subglottic stenosis classified as [Cotton-Myer grade]. Treatment plan includes close monitoring of airway symptoms and pulmonary function tests. Patient education provided regarding signs and symptoms of respiratory distress. Referral to pediatric otolaryngologist for further evaluation and consideration for endoscopic dilation or surgical intervention. ICD-10 code J38.5, subglottic stenosis, assigned. Follow-up scheduled in [timeframe] to assess respiratory status and treatment response.