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2025 ICD-10-CM code J38.1

Polyp of the vocal cord and larynx.

When a respiratory condition affects multiple sites and isn't specifically indexed, code the lower anatomic site. Additional codes might be required for tobacco use, smoke exposure, or other contributing factors.

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

IMPORTANT:No alternate codes specifically mentioned, but additional codes may be used to specify contributing factors (e.g., tobacco use, environmental exposure) or to describe associated conditions.

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.

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