ICD-10 Clinical Concepts

The Centers for Medicare and Medicaid Services ("CMS") released a guide with ICD-10 Clinical Concepts and common ICD-10 codes for six major medical specialties: cardiology, family practice, internal medicine, OB/GYN, orthopedics and pediatrics.

Clinical Concepts for Cardiology

  • Abnormalities of Heart Rhythm
  • Atrial Fibrillation and Flutter
  • Cardiac Arrhythmias (Other)
  • Chest Pain
  • Heart Failure
  • Hypertension
  • Nonrheumatic Valve Disorders - Aortic Valve Disorders
  • Nonrheumatic Valve Disorders - Mitral Valve Disorders
  • Selected Atherosclerosis, Ischemia, and Infarction
  • Syncope and Collapse

Clinical Concepts for Family Practice

  • Abdominal Pain
  • Acute Respiratory Infections
  • Back and Neck Pain
  • Chest Pain
  • Diabetes Mellitus w/o Complications Type 2
  • General Medical Examination
  • Headache
  • Hypertension
  • Pain in Joint
  • Pain in Limb
  • Other Forms Of Heart Disease
  • Urinary Tract Infection, Cystitis

Clinical Concepts for Internal Medicine

  • Abdominal Pain
  • Acute Respiratory Infections
  • Back and Neck Pain
  • Chest Pain
  • Diabetes Mellitus w/o Complications Type 2
  • General Medical Examination
  • Headache
  • Hypertension
  • Pain in Joint
  • Pain in Limb
  • Other Forms Of Heart Disease
  • Urinary Tract Infection, Cystitis

Clinical Concepts for OB/GYN

  • Maternal Disorders Related to Pregnancy
  • Abnormal Female Genital Cytology
  • Excessive, Frequent and Irregular Menstruation
  • General Medical and Gynecological Examinations
  • Hypertension
  • Inflammation of Vagina and Vulva
  • Lump in Breast and Other Disorders of the Breast
  • Selected Menopausal and Other Perimenopausal Disorders
  • Noninflammatory Disorders of Ovary, Fallopian Tubes, and Broadligament
  • Supervision of Normal Pregnancy
  • Urinary Tract Infection, Cystitis

Clinical Concepts for Orthopedics

  • Cervical Spine Disorders and Displacement
  • Neck and Back Pain
  • Osteoarthritis of the Hip
  • Osteoarthritis of the Knee
  • Radiculopathy (Primary)
  • Rheumatoid Arthritis
  • Selected Shoulder Conditions
  • Spinal Stenosis of the Lumbar Region
  • Selected Sprains Rotator Cuff, Cruciate Ligament, and Ankle
  • Thoracic, Thoracolumbar, and Lumbosacral Intervertebral Disc Disorders

Clinical Concepts for Pediatrics

  • Abdominal Pain
  • Acute Bronchitis
  • Acute Pharyngitis
  • Allergic Inflammation of the Nasal Airways
  • Asthma
  • Chest Pain
  • Diabetes Mellitus
  • Headache
  • Acute Serous Otitis Media
  • Other Acute Nonsuppurative Otitis Media
  • Chronic Serous Otitis Media
  • Chronic Mucoid Otitis Media
  • Other Chronic Nonsuppurative Otitis Media
  • Unspecified Nonsuppurative Otitis Media
  • Acute Suppurative Otitis Media
  • Chronic Tubotympanic Suppurative Otitis Media
  • Chronic Atticoantral Suppurative Otitis Media
  • Other Chronic Suppurative Otitis Media
  • Suppurative Otitis Media, Unspecified
  • Otitis media, Unspecified
  • Otitis Media in Diseases Classified Elsewhere
  • Pain in Limb
  • Routine Child Health Examination
  • Urinary Tract Infection, Cystitis

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