DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

J04 Acute laryngitis and tracheitis

  • Header · not billable

J04 is not billable. The category heads 6 billable codes in FY2027, grouped under 4 subdivisions.

Index → code

  • Glottitis → J04.0
  • Supraglottitis → J04.30
  • Laryngotracheitis (acute) (Infectional) (infective) (viral) → J04.2

Where it sits

  1. Chapter 10 Diseases of the respiratory system (J00-J99)
  2. J00-J06 Acute upper respiratory infections (J00-J06)
  3. J04 Acute laryngitis and tracheitis
Billable codes
6
Subdivisions
4
CC / MCC codes
0 / 2
HCC V28 codes
0
New FY2027
0
Index entries
16

Codes in J04

  1. J04.0
    Acute laryngitis
    Billable
    Inclusion terms 5, Excludes1 1, Excludes2 1

    Inclusion terms

    • Edematous laryngitis (acute)
    • Laryngitis (acute) NOS
    • Subglottic laryngitis (acute)
    • Suppurative laryngitis (acute)
    • Ulcerative laryngitis (acute)

    Excludes1

    • acute obstructive laryngitis (J05.0) J05.0

    Excludes2

    • chronic laryngitis (J37.0) J37.0
  2. J04.1
    Acute tracheitis
    Header
    Inclusion terms 3, Excludes2 1

    Inclusion terms

    • Acute viral tracheitis
    • Catarrhal tracheitis (acute)
    • Tracheitis (acute) NOS

    Excludes2

    • chronic tracheitis (J42) J42
  3. J04.10
    Acute tracheitis without obstruction
    Billable
  4. J04.11
    Acute tracheitis with obstruction
    BillableMCC
  5. J04.2
    Acute laryngotracheitis
    Billable
    Inclusion terms 2, Excludes1 1, Excludes2 1

    Inclusion terms

    • Laryngotracheitis NOS
    • Tracheitis (acute) with laryngitis (acute)

    Excludes1

    • acute obstructive laryngotracheitis (J05.0) J05.0

    Excludes2

    • chronic laryngotracheitis (J37.1) J37.1
  6. J04.3
    Supraglottitis, unspecified
    Header
  7. J04.30
    Supraglottitis, unspecified, without obstruction
    Billable
  8. J04.31
    Supraglottitis, unspecified, with obstruction
    BillableMCC

CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).

Sources of each column.

Instructions

At J04

Excludes1

  • acute obstructive laryngitis [croup] and epiglottitis (J05.-) J05

Excludes2

  • laryngismus (stridulus) (J38.5) J38.5

Use additional code

  • code (B95-B97) to identify infectious agent. B95 B97

Code also

  • influenza, if present, such as:
  • influenza due to identified novel influenza A virus with other respiratory manifestations (J09.X2) J09.X2
  • influenza due to other identified influenza virus with other respiratory manifestations (J10.1) J10.1
  • influenza due to unidentified influenza virus with other respiratory manifestations (J11.1) J11.1

Notes that also apply

Block J00-J06 instructions (Excludes1 1): printed on the block page.

Chapter 10 instructions (Notes 1, Excludes2 9, Use additional code 7): printed on the chapter 10 page.

Index entries

  • Glottitis → J04.0
  • Laryngitis (acute) (edematous) (fibrinous) (infective) (infiltrative) (malignant) (membranous) (phlegmonous) (pneumococcal) (pseudomembranous) (septic) (subglottic) (suppurative) (ulcerative) → J04.0
  • Tracheitis (catarrhal) (infantile) (membranous) (plastic) (septal) (suppurative) (viral) → J04.10
  • Laryngotracheitis (acute) (Infectional) (infective) (viral) → J04.2
  • Supraglottitis → J04.30
  • Gangrene, gangrenous (connective tissue) (dropsical) (dry) (moist) (skin) (ulcer)laryngitis → J04.0
  • Laryngitis (acute) (edematous) (fibrinous) (infective) (infiltrative) (malignant) (membranous) (phlegmonous) (pneumococcal) (pseudomembranous) (septic) (subglottic) (suppurative) (ulcerative)Hemophilus influenzae → J04.0
  • Laryngitis (acute) (edematous) (fibrinous) (infective) (infiltrative) (malignant) (membranous) (phlegmonous) (pneumococcal) (pseudomembranous) (septic) (subglottic) (suppurative) (ulcerative)H. influenzae → J04.0
  • Laryngitis (acute) (edematous) (fibrinous) (infective) (infiltrative) (malignant) (membranous) (phlegmonous) (pneumococcal) (pseudomembranous) (septic) (subglottic) (suppurative) (ulcerative)streptococcal → J04.0
  • Tracheitis (catarrhal) (infantile) (membranous) (plastic) (septal) (suppurative) (viral)acute → J04.10
  • Laryngotracheitis (acute) (Infectional) (infective) (viral)Hemophilus influenzae → J04.2
  • Laryngotracheitis (acute) (Infectional) (infective) (viral)streptococcal → J04.2
  • Supraglottitiswith obstruction → J04.31
  • Laryngitis (acute) (edematous) (fibrinous) (infective) (infiltrative) (malignant) (membranous) (phlegmonous) (pneumococcal) (pseudomembranous) (septic) (subglottic) (suppurative) (ulcerative)spasmodicacute → J04.0
  • Tracheitis (catarrhal) (infantile) (membranous) (plastic) (septal) (suppurative) (viral)acutewith obstruction → J04.11
  • Tracheitis (catarrhal) (infantile) (membranous) (plastic) (septal) (suppurative) (viral)withlaryngitis (acute) → J04.2

NCHS Alphabetic Index. Index first, then the Tabular List.

Hierarchy