ICD-10 Code J38.02 – Paralysis of vocal cords and larynx, bilateral (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code J38.02 – Paralysis of vocal cords and larynx, bilateral
What it is
J38.02 identifies bilateral paralysis of the vocal cords and larynx. Use it when both sides are impaired, affecting normal vocal fold movement and airway protection.
Clinical signs
Typical findings include hoarseness, weak voice, breathing difficulty, or stridor. Clinical features vary; refer to documentation, especially when laryngoscopy confirms reduced or absent movement on both sides.
When to use this code
Use this code when the provider documents bilateral vocal cord or laryngeal paralysis, including paralysis due to nerve injury, surgery, or neurologic disease. It may also fit postoperative or chronic cases if both sides are affected and documented clearly.
If the note states paresis, immobility, or fixation, verify whether the provider means true paralysis before assigning J38.02. Check documentation if the laterality is unclear or only one side is involved.
Do not use for
Do not use J38.02 for unilateral vocal cord paralysis or for nonspecific hoarseness without confirmed paralysis. Check documentation if the record describes edema, spasm, or other laryngeal disorders instead.
Coding tip
Confirm bilateral involvement in the provider note or laryngoscopy report before coding, because laterality is essential for correct assignment.