ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 J04.2

Billable / Specific

Acute laryngotracheitis

J04
Block
2
Synonyms
139
LCDs
8
Payer Policies
0
Linked CPTs

About ICD-10-CM J04.2

ICD-10-CM code J04.2 represents Acute laryngotracheitis. This is a billable/specific code in the Respiratory System chapter (block J04). The 2026 edition of ICD-10-CM J04.2 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under J04.2. Per CMS ICD-10-CM Tabular 2026.

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

Type 1 Excludes

Pure excludes, these codes can never be coded together with J04.2. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • acute obstructive laryngotracheitis (J05.0)

Type 2 Excludes

Not included here, the excluded code is not part of J04.2, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • chronic laryngotracheitis (J37.1)

Medicare LCD Coverage for J04.2

Local Coverage Determinations (LCDs) from CMS MACs that list J04.2 as a covered diagnosis.

139 LCDs

Showing top 10 of 139 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92524 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92521 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97130 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92597 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92522 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing J04.2.

8 policies

5 Medicare

Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111
Billing and Coding: Respiratory Therapy (Respiratory Care)
Policy ID: ART-56717
Billing and Coding: Respiratory Therapy and Oximetry Services
Policy ID: ART-56730
Billing and Coding: Oximetry Services
Policy ID: ART-57205
Billing and Coding: Respiratory Care
Policy ID: ART-57224

CPT Codes Commonly Billed with J04.2

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for J04.2

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert J04.2 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
J04.2 46420 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 J04.2, Billing FAQ

Is ICD-10 code J04.2 billable? +

Yes, J04.2 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to J04.2? +

ICD-10 J04.2 includes: Laryngotracheitis NOS; Tracheitis (acute) with laryngitis (acute).

What codes are Type 1 Excludes for J04.2? +

Type 1 Excludes (never code together with J04.2): acute obstructive laryngotracheitis (J05.0)

What codes are Type 2 Excludes for J04.2? +

Type 2 Excludes (may be coded together when both conditions exist): chronic laryngotracheitis (J37.1)

What ICD-9 codes does J04.2 map to? +

Per CMS GEMs, J04.2 maps to ICD-9 codes: 46420. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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