ICD-10 Clinical Concepts for Pediatrics

Clinical Concepts with matching common ICD-10 codes for pediatrics providers.

Clinical Concepts for Pediatrics

Abdominal Pain

  • R10.0 - Acute abdomen
  • R10.10 - Upper abdominal pain, unspecified
  • R10.11 - Right upper quadrant pain
  • R10.12 - Left upper quadrant pain
  • R10.13 - Epigastric pain
  • R10.2 - Pelvic and perineal pain
  • R10.30 - Lower abdominal pain, unspecified
  • R10.31 - Right lower quadrant pain
  • R10.32 - Left lower quadrant pain
  • R10.33 - Periumbilical pain
  • R10.84 - Generalized abdominal pain
  • R10.9 - Unspecified abdominal pain *

Acute Bronchitis

  • J20.0 - Acute bronchitis due to Mycoplasma pneumoniae
  • J20.1 - Acute bronchitis due to Hemophilus influenzae
  • J20.2 - Acute bronchitis due to streptococcus
  • J20.3 - Acute bronchitis due to coxsackievirus
  • J20.4 - Acute bronchitis due to parainfluenza virus
  • J20.5 - Acute bronchitis due to respiratory syncytial virus
  • J20.6 - Acute bronchitis due to rhinovirus
  • J20.7 - Acute bronchitis due to echovirus
  • J20.8 - Acute bronchitis due to other specified organisms
  • J20.9 - Acute bronchitis, unspecified *

Acute Pharyngitis

  • J02.0 - Streptococcal pharyngitis
  • J02.8 - Acute pharyngitis due to other specified organisms
  • J02.9 - Acute pharyngitis, unspecified *

Allergic Inflammation of the Nasal Airways

  • J30.0 - Vasomotor rhinitis
  • J30.1 - Allergic rhinitis due to pollen
  • J30.2 - Other seasonal allergic rhinitis
  • J30.5 - Allergic rhinitis due to food
  • J30.81 - Allergic rhinitis due to animal (cat) (dog) hair and dander
  • J30.89 - Other allergic rhinitis
  • J30.9 - Allergic rhinitis, unspecified *

Asthma

  • J45.20 - Mild intermittent asthma, uncomplicated
  • J45.21 - Mild intermittent asthma with (acute) exacerbation
  • J45.22 - Mild intermittent asthma with status asthmaticus
  • J45.30 - Mild persistent asthma, uncomplicated
  • J45.31 - Mild persistent asthma with (acute) exacerbation
  • J45.32 - Mild persistent asthma with status asthmaticus
  • J45.40 - Moderate persistent asthma, uncomplicated
  • J45.41 - Moderate persistent asthma with (acute) exacerbation
  • J45.42 - Moderate persistent asthma with status asthmaticus
  • J45.50 - Severe persistent asthma, uncomplicated
  • J45.51 - Severe persistent asthma with (acute) exacerbation
  • J45.52 - Severe persistent asthma with status asthmaticus
  • J45.901 - Unspecified asthma with (acute) exacerbation *
  • J45.902 - Unspecified asthma with status asthmaticus *
  • J45.909 - Unspecified asthma, uncomplicated *
  • J45.990 - Exercise induced bronchospasm
  • J45.991 - Cough variant asthma
  • J45.998 - Other asthma

Chest Pain

Diabetes Mellitus

  • E10.65 - Type 1 diabetes mellitus with hyperglycemia
  • E10.9 - Type 1 diabetes mellitus without complications
  • E11.65 - Type 2 diabetes mellitus with hyperglycemia
  • E11.9 - Type 2 diabetes mellitus without complications

Headache

  • R51 - Headache

Acute Serous Otitis Media

  • H65.00 - Acute serous otitis media, unspecified ear *
  • H65.01 - Acute serous otitis media, right ear
  • H65.02 - Acute serous otitis media, left ear
  • H65.03 - Acute serous otitis media, bilateral
  • H65.04 - Acute serous otitis media, recurrent, right ear
  • H65.05 - Acute serous otitis media, recurrent, left ear
  • H65.06 - Acute serous otitis media, recurrent, bilateral
  • H65.07 - Acute serous otitis media, recurrent, unspecified ear *

Other Acute Nonsuppurative Otitis Media

  • H65.111 - Acute and subacute allergic otitis media (serous), r ear
  • H65.112 - Acute and subacute allergic otitis media (serous), left ear
  • H65.113 - Acute and subacute allergic otitis media (serous), bi
  • H65.114 - Acute and subacute allergic otitis media, recur, r ear
  • H65.115 - Acute and subacute allergic otitis media, recur, left ear
  • H65.116 - Acute and subacute allergic otitis media (serous), recur, bi
  • H65.117 - Acute and subacute allergic otitis media, recur, unsp ear *
  • H65.119 - Acute and subacute allergic otitis media (serous), unsp ear *
  • H65.191 - Other acute nonsuppurative otitis media, right ear
  • H65.192 - Other acute nonsuppurative otitis media, left ear
  • H65.193 - Other acute nonsuppurative otitis media, bilateral
  • H65.194 - Oth acute nonsuppurative otitis media, recurrent, right ear
  • H65.195 - Other acute nonsuppurative otitis media, recurrent, left ear
  • H65.196 - Oth acute nonsuppurative otitis media, recurrent, bilateral
  • H65.197 - Other acute nonsuppurative otitis media recurrent, unsp ear *
  • H65.199 - Other acute nonsuppurative otitis media, unspecified ear *

Chronic Serous Otitis Media

  • H65.20 - Chronic serous otitis media, unspecified ear *
  • H65.21 - Chronic serous otitis media, right ear
  • H65.22 - Chronic serous otitis media, left ear
  • H65.23 - Chronic serous otitis media, bilateral

Chronic Mucoid Otitis Media

  • H65.30 - Chronic mucoid otitis media, unspecified ear *
  • H65.31 - Chronic mucoid otitis media, right ear
  • H65.32 - Chronic mucoid otitis media, left ear
  • H65.33 - Chronic mucoid otitis media, bilateral

Other Chronic Nonsuppurative Otitis Media

  • H65.411 - Chronic allergic otitis media, right ear
  • H65.412 - Chronic allergic otitis media, left ear
  • H65.413 - Chronic allergic otitis media, bilateral
  • H65.419 - Chronic allergic otitis media, unspecified ear *
  • H65.491 - Other chronic nonsuppurative otitis media, right ear
  • H65.492 - Other chronic nonsuppurative otitis media, left ear
  • H65.493 - Other chronic nonsuppurative otitis media, bilateral
  • H65.499 - Other chronic nonsuppurative otitis media, unspecified ear *

Unspecified Nonsuppurative Otitis Media

  • H65.90 - Unspecified nonsuppurative otitis media, unspecified ear *
  • H65.91 - Unspecified nonsuppurative otitis media, right ear *
  • H65.92 - Unspecified nonsuppurative otitis media, left ear *
  • H65.93 - Unspecified nonsuppurative otitis media, bilateral *

Acute Suppurative Otitis Media

  • H66.001 - Acute suppr otitis media w/o spon rupt ear drum, right ear
  • H66.002 - Acute suppr otitis media w/o spon rupt ear drum, left ear
  • H66.003 - Acute suppr otitis media w/o spon rupt ear drum, bilateral
  • H66.004 - Ac suppr otitis media w/o spon rupt ear drum, recur, r ear
  • H66.005 - Ac suppr otitis media w/o spon rupt ear drum, recur, l ear
  • H66.006 - Acute suppr otitis media w/o spon rupt ear drum, recur, bi
  • H66.007 - Ac suppr otitis media w/o spon rupt ear drum,recur, unsp ear *
  • H66.009 - Acute suppr otitis media w/o spon rupt ear drum, unsp ear *
  • H66.011 - Acute suppr otitis media w spon rupt ear drum, right ear
  • H66.012 - Acute suppr otitis media w spon rupt ear drum, left ear
  • H66.013 - Acute suppr otitis media w spon rupt ear drum, bilateral
  • H66.014 - Acute suppr otitis media w spon rupt ear drum, recur, r ear
  • H66.015 - Acute suppr otitis media w spon rupt ear drum, recur, l ear
  • H66.016 - Acute suppr otitis media w spon rupt ear drum, recurrent, bi
  • H66.017 - Ac suppr otitis media w spon rupt ear drum, recur, unsp ear *
  • H66.019 - Acute suppr otitis media w spon rupt ear drum, unsp ear *

Chronic Tubotympanic Suppurative Otitis Media

  • H66.10 - Chronic tubotympanic suppurative otitis media, unspecified *
  • H66.11 - Chronic tubotympanic suppurative otitis media, right ear
  • H66.12 - Chronic tubotympanic suppurative otitis media, left ear
  • H66.13 - Chronic tubotympanic suppurative otitis media, bilateral

Chronic Atticoantral Suppurative Otitis Media

  • H66.20 - Chronic atticoantral suppurative otitis media, unsp ear *
  • H66.21 - Chronic atticoantral suppurative otitis media, right ear
  • H66.22 - Chronic atticoantral suppurative otitis media, left ear
  • H66.23 - Chronic atticoantral suppurative otitis media, bilateral

Other Chronic Suppurative Otitis Media

  • H66.3X1 - Other chronic suppurative otitis media, right ear
  • H66.3X2 - Other chronic suppurative otitis media, left ear
  • H66.3X3 - Other chronic suppurative otitis media, bilateral
  • H66.3X9 - Other chronic suppurative otitis media, unspecified ear *

Suppurative Otitis Media, Unspecified

  • H66.40 - Suppurative otitis media, unspecified, unspecified ear *
  • H66.41 - Suppurative otitis media, unspecified, right ear *
  • H66.42 - Suppurative otitis media, unspecified, left ear *
  • H66.43 - Suppurative otitis media, unspecified, bilateral *

Otitis media, Unspecified

  • H66.90 - Otitis media, unspecified, unspecified ear *
  • H66.91 - Otitis media, unspecified, right ear *
  • H66.92 - Otitis media, unspecified, left ear *
  • H66.93 - Otitis media, unspecified, bilateral *

Otitis Media in Diseases Classified Elsewhere

  • H67.1 - Otitis media in diseases classified elsewhere, right ear
  • H67.2 - Otitis media in diseases classified elsewhere, left ear
  • H67.3 - Otitis media in diseases classified elsewhere, bilateral
  • H67.9 - Otitis media in diseases classified elsewhere, unsp ear *

Pain in Limb

Routine Child Health Examination

  • Z00.121 - Encounter for routine child health exam w abnormal findings
  • Z00.129 - Encntr for routine child health exam w/o abnormal findings

Urinary Tract Infection, Cystitis

  • N30.00 - Acute cystitis without hematuria
  • N30.01 - Acute cystitis with hematuria
  • N30.10 - Interstitial cystitis (chronic) without hematuria
  • N30.11 - Interstitial cystitis (chronic) with hematuria
  • N30.20 - Other chronic cystitis without hematuria
  • N30.21 - Other chronic cystitis with hematuria
  • N30.30 - Trigonitis without hematuria
  • N30.31 - Trigonitis with hematuria
  • N30.40 - Irradiation cystitis without hematuria
  • N30.41 - Irradiation cystitis with hematuria
  • N30.80 - Other cystitis without hematuria
  • N30.81 - Other cystitis with hematuria
  • N30.90 - Cystitis, unspecified without hematuria
  • N30.91 - Cystitis, unspecified with hematuria
  • N39.0 - Urinary tract infection, site not specified *

* Codes with a greater degree of specificity should be considered first.