icd 9 code for vocal cord paralysis

by Katrina Breitenberg 9 min read

Short description: Vocal cord paralysis NOS. ICD-9-CM 478.30 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 478.30 should only be used for claims with a date of service on or before September 30, 2015.

How do you treat a paralyzed vocal cord?

Your options for surgery include:

  • Bulk injection, which fills your vocal cords with collagen or another filler substance
  • Structural implants, also known as thyroplasty or medialization laryngoplasty, that reposition your vocal fold
  • Vocal cord repositioning, in which your tissue from the outside of your voice box moves inward
  • Replacement of the damaged nerve

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How serious is vocal cord paralysis?

This then can result in accidentally swallowing lungs resulting in dangerous health issues. Some problems resulting in this health issue are viral infection, cancer or surgery. Paralysis of the vocal cord can lead to a very serious problem making it difficult to breathe as well as swallowing. Choking while eating food or drinking.

Is a paralyzed vocal cord a serious condition?

In most cases of vocal cord paralysis, only one vocal cord is paralyzed. Paralysis of both of your vocal cords is a rare but serious condition. This can cause vocal difficulties and significant problems with breathing and swallowing. Signs and symptoms of vocal cord paralysis may include:

What is the treatment for vocal chord paralysis?

Treating Vocal Cord Paralysis

  • Voice therapy. Voice therapy uses exercises to strengthen your vocal cords. It teaches you how to use your moving vocal cord to make up for your paralyzed vocal cord.
  • Injection. You may get an injection (shot) into your paralyzed vocal cord. ...
  • Surgery. Surgery to move your paralyzed vocal cord is another option. ...

What is the ICD-10 code for right vocal cord paralysis?

ICD-10 code J38. 0 for Paralysis of vocal cords and larynx is a medical classification as listed by WHO under the range - Diseases of the respiratory system .

What is the ICD-10 for vocal cord dysfunction?

J38. 3 - Other diseases of vocal cords | ICD-10-CM.

What is the ICD-10 code for vocal cord mass?

J38. 2 - Nodules of vocal cords. ICD-10-CM.

What is the term for paralysis of the voice box?

Vocal cord paralysis, also known as vocal cord paresis, is the inability of one or both vocal cords (vocal folds) to move. It can greatly impact on the daily life of the sufferer, including employment, choice of job, social interactions and leisure time activities.

How do you code vocal cord dysfunction?

Paralysis of vocal cords and larynx, unspecified J38. 00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM J38. 00 became effective on October 1, 2021.

What is paradoxical vocal cord dysfunction?

With Paradoxical Vocal Cord Dysfunction (PVCD), the vocal cords close together, or constrict, when a person inhales, leaving only a small opening for air to flow into the windpipe.

What is the name of the vocal cords?

In humans, vocal cords, also known as vocal folds or voice reeds, are folds of throat tissues that are key in creating sounds through vocalization.

What is the ICD-10 code for vocal cord polyp?

ICD-10 code J38. 1 for Polyp of vocal cord and larynx is a medical classification as listed by WHO under the range - Diseases of the respiratory system .

What do dysphonia means?

Trouble with the voiceListen to pronunciation. (dis-FOH-nee-uh) Trouble with the voice when trying to talk, including hoarseness and change in pitch or quality or voice.

What is unilateral vocal cord paralysis?

Unilateral vocal fold paralysis is when only one fold will not move or only moves a little bit. It is more common than bilateral paralysis. The paralyzed vocal fold does not vibrate with the other fold. The person's voice will not sound clear or loud. They may run out of air when speaking.

What causes vocal fold paralysis?

What causes vocal fold paralysis? Vocal fold paralysis may be caused by injury to the head, neck, or chest; lung or thyroid cancer; tumors of the skull base, neck, or chest; or infection (for example, Lyme disease).

Are vocal cords and vocal folds the same thing?

The vocal cords (also called vocal folds) are two bands of smooth muscle tissue found in the larynx (voice box). The vocal cords vibrate and air passes through the cords from the lungs to produce the sound of your voice. Some of the more common vocal cord disorders include the following.

How to treat vocal cord paralysis?

Treatment may include voice therapy, bulk injections, surgery or a combination of treatments. In some instances, you may get better without surgical treatment. For this reason, your doctor may delay permanent surgery ...

What is the best treatment for paralyzed vocal cords?

Voice therapy sessions involve exercises or other activities to strengthen your vocal cords, improve breath control during speech, prevent abnormal tension in other muscles around the paralyzed vocal cord or cords and protect your airway during swallowing. Occasionally, voice therapy may be the only treatment you need if your vocal cords were paralyzed in a location that doesn't require additional bulk or repositioning.

What is the procedure to reposition the vocal cord?

Structural implants. Instead of using a bulk injection, this procedure — known as thyroplasty, medialization laryngoplasty or laryngeal framework surgery — relies on the use of an implant in the larynx to reposition the vocal cord. Rarely, people who have this surgery may need to have a second surgery to reposition the implant.

Why is voice paralysis so frustrating?

Vocal cord paralysis can be frustrating and sometimes debilitating, especially because your voice affects your ability to communicate. A speech therapist can help you develop the skills you need to communicate.

What is the procedure to get vocal cords to stop leaking?

Some doctors combine this surgery with a bulk injection. Tracheotomy. If both of your vocal cords are paralyzed and positioned closely together, your airflow will be decreased. In this situation, you'll have a lot of trouble breathing and require a surgical procedure called a tracheotomy.

What to do if you have vocal paralysis?

Surgery. If your vocal cord paralysis symptoms don't fully recover on their own, surgical treatments may be offered to improve your ability to speak and to swallow. Surgical options include: Bulk injection. Paralysis of the nerve to your vocal cord will probably leave the vocal cord muscle thin and weak.

How long does it take to recover from paralysis?

This test is most useful for predicting how you'll recover when it's done between six weeks and six months after your symptoms began. Blood tests and scans. Because a number of diseases may cause a nerve to be injured, you may need additional tests to identify the cause of the paralysis.