2025 ICD-10-CM code J38.1
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the respiratory system - Other diseases of upper respiratory tract (J30-J39) Diseases of the respiratory system (J00-J99) Feed
Polyp of the vocal cord and larynx.
The medical necessity for coding J38.1 is established through clinical documentation supporting the presence of a polyp on the vocal cord(s) or larynx. The symptoms and the diagnostic findings justify the diagnosis.
Otolaryngologist, pulmonologist, or other relevant specialist
- Diseases of the respiratory system (J00-J99)
- J38 Diseases of vocal cords and larynx, not elsewhere classified
In simple words: This code describes a non-cancerous growth (polyp) found on the vocal cords or larynx (voice box). A doctor uses this code after a proper examination, such as a look inside the throat.
J38.1, Polyp of vocal cord and larynx, is an ICD-10-CM code that classifies a benign growth (polyp) on the vocal cords or larynx.It excludes adenomatous polyps (D14.1).The code is used to report the presence of this specific type of lesion, requiring clinical documentation such as laryngoscopy findings or biopsy results confirming the diagnosis.
Example 1: A 50-year-old smoker presents with hoarseness and voice changes. Laryngoscopy reveals a single polyp on the left vocal cord. J38.1 is used to code this finding., A 70-year-old female patient undergoes a routine laryngoscopy which unexpectedly reveals multiple small polyps on her vocal cords.The physician documents these findings as J38.1., During a surgery for another laryngeal condition, incidental discovery of a polyp is documented. J38.1 is included in the coding to reflect this additional finding.
* Detailed history and physical examination focusing on voice changes and respiratory symptoms.* Laryngoscopy report with description of polyp's location, size, number, and any associated findings.* Biopsy report confirming the diagnosis of a benign polyp, if performed.* Documentation of any associated conditions or contributing factors.
** This code should be used only for benign polyps. Malignant lesions should be coded appropriately with neoplasm codes.
- Payment Status: Active
- Specialties:Otolaryngology
- Place of Service:Office, Hospital (Inpatient or Outpatient)