Paralysis of vocal cords and larynx, unspecified

This code signifies the complete or partial loss of vocal cord or laryngeal movement, without further specification of the underlying cause or laterality. It indicates a functional impairment affecting voice production and airway protection due to nerve damage or muscle dysfunction.

Assign this code when documentation clearly states "paralysis of vocal cords and larynx" but lacks details on whether it's unilateral or bilateral, or the specific etiology. This is an unspecified code, appropriate when the provider has not yet determined or documented the laterality or cause.

• Avoid using this code if laterality (unilateral or bilateral) is documented; instead, use more specific codes like J38.01 or J38.02.
• Always query the provider for more specific documentation regarding laterality and cause to allow for more precise coding.
• This code should be sequenced as a primary diagnosis when the paralysis is the main reason for the encounter, or as a secondary diagnosis if it's a co-morbidity.