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J38.5 vs R06.1

J38.5 (Laryngeal spasm) compared with R06.1 (Stridor), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. J38.5 carries an Excludes1 note covering R06.1: “stridor (R06.1)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. R06.1 carries an Excludes1 note covering J38.5: “laryngismus (stridulus) (J38.5)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

J38.5Laryngeal spasmR06.1Stridor
Billing statusBillableBillable
ClassificationJ00-J99 — Diseases of the Respiratory System (J00-J99)R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
DefinitionLaryngeal spasm is a billable ICD-10-CM diagnosis code (J38.5).Stridor is a billable ICD-10-CM diagnosis code (R06.1).
Includes
Laryngismus (stridulus)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources