J38.5 Laryngeal spasm

ICD10CM code

#### Name of the Condition
- **Laryngeal spasm**  
- Also known as "vocal cord spasm."

#### Summary
Laryngeal spasm is a sudden, involuntary contraction of the vocal cords, leading to temporary difficulty in speaking or breathing. It can be a frightening experience but often resolves on its own within a short period.

#### Causes
- Gastroesophageal reflux disease (GERD) is a common trigger.
- Irritation from allergies or infections.
- Stress or anxiety may also provoke episodes.

#### Risk Factors
- Individuals with GERD or asthma.
- Those with a history of laryngeal or respiratory issues.
- High levels of stress or anxiety increase susceptibility.

#### Symptoms
- Sudden difficulty breathing or a sensation of choking.
- Stridor or a high-pitched sound while breathing.
- Temporary loss of voice or hoarseness.

#### Diagnosis
- Diagnosis generally involves a clinical examination.
- An ENT specialist may use laryngoscopy to visualize the vocal cords.
- Reviewing medical history for triggers like GERD.

#### Treatment Options
- Immediate relief can include controlled breathing techniques.
- Addressing underlying causes (e.g., acid reflux treatment via antacids).
- Speech therapy to manage episodes and stress reduction techniques.

#### Prognosis and Follow-Up
- Episodes are generally self-limiting and non-life-threatening.
- Regular follow-up to manage underlying conditions like GERD is essential.
- Prognosis is good with proper management.

#### Complications
- Frequent episodes can lead to anxiety or panic attacks.
- Risk of developing chronic laryngeal irritation or voice disorders.
- Rarely, severe cases might lead to significant respiratory issues.

#### Lifestyle & Prevention
- Avoiding known triggers such as allergens and irritants.
- Managing stress through relaxation techniques.
- Dietary adjustments to control GERD (e.g., avoiding late meals, spicy foods).

#### When to Seek Professional Help
- Persistent difficulty breathing.
- Frequent or severe episodes of laryngeal spasm.
- If accompanied by chest pain or severe respiratory distress, seek immediate medical attention.

#### Additional Resources
- American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS): [www.entnet.org](https://www.entnet.org)
- National Institute of Allergy and Infectious Diseases (NIAID): [www.niaid.nih.gov](https://www.niaid.nih.gov)

#### Tips for Medical Coders
- Ensure correct identification of the condition as Laryngeal spasm: J38.5.
- Verify the linkage between symptoms and GERD for accurate coding.
- Avoid confusion with other respiratory or vocal cord disorders which have different codes.

Medical Policies and Guidelines for Laryngeal spasm

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