ICD-10 Code J38.2 – Nodules of vocal cords (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code J38.2 – Nodules of vocal cords
What it is
J38.2 identifies benign nodules on the vocal cords, usually from repeated voice strain. Use it when the record specifically documents vocal cord nodules rather than another laryngeal lesion.
Clinical signs
Patients commonly have hoarseness, a breathy or rough voice, and vocal fatigue. Laryngoscopy may show small, bilateral nodules on the true vocal cords; clinical features vary, so refer to documentation.
When to use this code
Use J38.2 when the provider diagnoses vocal cord nodules, including singer’s nodules or similar benign phonotraumatic lesions. Code it from documented laryngeal examination or specialist assessment when the nodules are the stated cause of dysphonia.
Apply this code when the chart clearly distinguishes nodules from polyps, cysts, edema, or malignancy. If the note only says “hoarseness” or “vocal strain,” check documentation before assigning J38.2.
Do not use for
Do not use J38.2 for general dysphonia without documented nodules, or for other vocal cord lesions such as polyps or cysts. Check documentation if the diagnosis is uncertain.
Coding tip
Assign J38.2 only when nodules are explicitly documented; voice symptoms alone are not enough.