Nodules of vocal cords

This code represents benign, localized growths on the vocal cords, often resulting from vocal abuse or misuse. These nodules are typically bilateral and symmetrical, causing hoarseness, breathiness, and vocal fatigue. They are a common cause of dysphonia.

Assign this code when documentation explicitly states "vocal cord nodules," "singer's nodules," or "screamer's nodules." This diagnosis is typically made via laryngoscopy by an otolaryngologist. Ensure the documentation clearly identifies the vocal cords as the site of the nodules.

• Differentiate from vocal cord polyps (J38.1) or granulomas (J38.7), which have distinct etiologies and appearances.
• Do not use for malignant vocal cord lesions; those require codes from the C32 series.
• Consider additional codes for associated symptoms like dysphonia (R49.0) if documented and not inherent to the nodule diagnosis.