ICD-10-CM Clinical Concepts · FY 2026 6 Specialties

ICD-10-CM Clinical Concepts by Specialty ICD-10-CM

CMS published its Clinical Concepts guides so practices could find the diagnosis codes they actually use, organized by specialty instead of by chapter. This reference keeps that idea current: the most commonly used ICD-10-CM codes for 6 major specialties, grouped into 80 clinical concepts, with every code checked against the FY 2026 code set and its billable status shown. Verify any code on its code page before reporting it.

✓ Codes validated against the official CMS FY 2026 code setEffective Oct 1, 2025 – Sep 30, 2026
6
Specialties
80
Concept Groups
CMS
Source Guides
FY 2026
Dataset
10 groupsClinical Concepts for CardiologyAbnormalities of Heart Rhythm; Atrial Fibrillation and Flutter; Cardiac Arrhythmias (Other); Chest Pain; and 6 more13 groupsClinical Concepts for Family PracticeAbdominal Pain; Acute Respiratory Infections; Back and Neck Pain; Chest Pain; and 9 more12 groupsClinical Concepts for Internal MedicineAbdominal Pain; Acute Respiratory Infections; Back and Neck Pain; Chest Pain; and 8 more11 groupsClinical Concepts for OB/GYNMaternal Disorders Related to Pregnancy; Abnormal Female Genital Cytology; Excessive, Frequent and Irregular Menstruation; General Medical and Gynecological Examinations; and 7 more10 groupsClinical Concepts for OrthopedicsCervical Spine Disorders and Displacement; Neck and Back Pain; Osteoarthritis of the Hip; Osteoarthritis of the Knee; and 6 more24 groupsClinical Concepts for PediatricsAbdominal Pain; Acute Bronchitis; Acute Pharyngitis; Allergic Inflammation of the Nasal Airways; and 20 more

Questions About Clinical Concepts

What are the ICD-10 Clinical Concepts?

CMS published the Clinical Concepts series to help practices transition to ICD-10: for each major specialty, the guides collect the conditions the specialty codes most often and the ICD-10-CM codes that report them. This reference keeps the same organization with the codes validated against the current fiscal year code set.

Are these the only codes a specialty can use?

No. Any provider can report any valid ICD-10-CM code the documentation supports. These lists are a starting point for the most frequent conditions in each specialty; the complete code set is in the ICD-10-CM Codes List.

What does the specificity note mean?

Some entries point at a category rather than a single code. When an entry carries the specificity note, codes with a greater degree of specificity should be considered first: open the code page and pick the most specific billable code the documentation supports.

Related References

Source: CMS ICD-10 Clinical Concepts guides, with every code validated against the official FY 2026 ICD-10-CM code set, effective October 1, 2025 through September 30, 2026.