Puncture wound without foreign body of larynx, sequela

This code describes the long-term effects or complications arising from a past puncture wound to the larynx, where no foreign body was present at the time of the original injury. It indicates a condition that is a direct consequence of the initial laryngeal trauma, manifesting after the acute phase of healing.

Use this code when documenting a current condition or symptom that is a residual effect of a previously sustained puncture wound to the larynx. Documentation should clearly link the current presentation (e.g., chronic dysphonia, laryngeal stenosis) to the prior laryngeal puncture injury. This code is appropriate for follow-up encounters addressing these persistent issues.

• Requires a seventh character "S" to indicate sequela, meaning the current condition is a late effect of the original injury.
• Always sequence this code after the code(s) identifying the specific sequela (e.g., J38.2 for nodules of vocal cords, J38.6 for stenosis of larynx).
• Ensure documentation explicitly states the causal link between the past laryngeal puncture wound and the current sequela.