ICD-10 Clinical Concepts for Pediatrics

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

Abdominal Pain

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

Acute Bronchitis

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

Acute Pharyngitis

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

Allergic Inflammation of the Nasal Airways

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

Asthma

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

Chest Pain

R07.1 - Chest pain on breathing BILLABLE CODE
R07.2 - Precordial pain BILLABLE CODE
R07.81 - Pleurodynia BILLABLE CODE
R07.82 - Intercostal pain BILLABLE CODE
R07.89 - Other chest pain BILLABLE CODE
R07.9 - Chest pain, unspecified * BILLABLE CODE

Diabetes Mellitus

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

Headache

R51 - Headache NON-BILLABLE CODE

Acute Serous Otitis Media

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

Other Acute Nonsuppurative Otitis Media

H65.111 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear BILLABLE CODE
H65.112 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear BILLABLE CODE
H65.113 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral BILLABLE CODE
H65.114 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear BILLABLE CODE
H65.115 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear BILLABLE CODE
H65.116 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral BILLABLE CODE
H65.117 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear * BILLABLE CODE
H65.119 - Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear * BILLABLE CODE
H65.191 - Other acute nonsuppurative otitis media, right ear BILLABLE CODE
H65.192 - Other acute nonsuppurative otitis media, left ear BILLABLE CODE
H65.193 - Other acute nonsuppurative otitis media, bilateral BILLABLE CODE
H65.194 - Other acute nonsuppurative otitis media, recurrent, right ear BILLABLE CODE
H65.195 - Other acute nonsuppurative otitis media, recurrent, left ear BILLABLE CODE
H65.196 - Other acute nonsuppurative otitis media, recurrent, bilateral BILLABLE CODE
H65.197 - Other acute nonsuppurative otitis media recurrent, unspecified ear * BILLABLE CODE
H65.199 - Other acute nonsuppurative otitis media, unspecified ear * BILLABLE CODE

Chronic Serous Otitis Media

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

Chronic Mucoid Otitis Media

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

Other Chronic Nonsuppurative Otitis Media

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

Unspecified Nonsuppurative Otitis Media

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

Acute Suppurative Otitis Media

H66.001 - Acute suppurative otitis media without spontaneous rupture of ear drum, right ear BILLABLE CODE
H66.002 - Acute suppurative otitis media without spontaneous rupture of ear drum, left ear BILLABLE CODE
H66.003 - Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral BILLABLE CODE
H66.004 - Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear BILLABLE CODE
H66.005 - Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left ear BILLABLE CODE
H66.006 - Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral BILLABLE CODE
H66.007 - Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified ear * BILLABLE CODE
H66.009 - Acute suppurative otitis media without spontaneous rupture of ear drum, unspecified ear * BILLABLE CODE
H66.011 - Acute suppurative otitis media with spontaneous rupture of ear drum, right ear BILLABLE CODE
H66.012 - Acute suppurative otitis media with spontaneous rupture of ear drum, left ear BILLABLE CODE
H66.013 - Acute suppurative otitis media with spontaneous rupture of ear drum, bilateral BILLABLE CODE
H66.014 - Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, right ear BILLABLE CODE
H66.015 - Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, left ear BILLABLE CODE
H66.016 - Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, bilateral BILLABLE CODE
H66.017 - Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear * BILLABLE CODE
H66.019 - Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear * BILLABLE CODE

Chronic Tubotympanic Suppurative Otitis Media

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

Chronic Atticoantral Suppurative Otitis Media

H66.20 - Chronic atticoantral suppurative otitis media, unspecified ear * BILLABLE CODE
H66.21 - Chronic atticoantral suppurative otitis media, right ear BILLABLE CODE
H66.22 - Chronic atticoantral suppurative otitis media, left ear BILLABLE CODE
H66.23 - Chronic atticoantral suppurative otitis media, bilateral BILLABLE CODE

Other Chronic Suppurative Otitis Media

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

Suppurative Otitis Media, Unspecified

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

Otitis media, Unspecified

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

Otitis Media in Diseases Classified Elsewhere

H67.1 - Otitis media in diseases classified elsewhere, right ear BILLABLE CODE
H67.2 - Otitis media in diseases classified elsewhere, left ear BILLABLE CODE
H67.3 - Otitis media in diseases classified elsewhere, bilateral BILLABLE CODE
H67.9 - Otitis media in diseases classified elsewhere, unspecified ear * BILLABLE CODE

Pain in Limb

M79.601 - Pain in right arm BILLABLE CODE
M79.602 - Pain in left arm BILLABLE CODE
M79.603 - Pain in arm, unspecified * BILLABLE CODE
M79.604 - Pain in right leg BILLABLE CODE
M79.605 - Pain in left leg BILLABLE CODE
M79.606 - Pain in leg, unspecified * BILLABLE CODE
M79.609 - Pain in unspecified limb BILLABLE CODE
M79.621 - Pain in right upper arm BILLABLE CODE
M79.622 - Pain in left upper arm BILLABLE CODE
M79.629 - Pain in unspecified upper arm * BILLABLE CODE
M79.631 - Pain in right forearm BILLABLE CODE
M79.632 - Pain in left forearm BILLABLE CODE
M79.639 - Pain in unspecified forearm * BILLABLE CODE
M79.641 - Pain in right hand BILLABLE CODE
M79.642 - Pain in left hand BILLABLE CODE
M79.643 - Pain in unspecified hand * BILLABLE CODE
M79.644 - Pain in right finger(s) BILLABLE CODE
M79.645 - Pain in left finger(s) BILLABLE CODE
M79.646 - Pain in unspecified finger(s) * BILLABLE CODE
M79.651 - Pain in right thigh BILLABLE CODE
M79.652 - Pain in left thigh BILLABLE CODE
M79.659 - Pain in unspecified thigh * BILLABLE CODE
M79.661 - Pain in right lower leg BILLABLE CODE
M79.662 - Pain in left lower leg BILLABLE CODE
M79.669 - Pain in unspecified lower leg * BILLABLE CODE
M79.671 - Pain in right foot BILLABLE CODE
M79.672 - Pain in left foot BILLABLE CODE
M79.673 - Pain in unspecified foot * BILLABLE CODE
M79.674 - Pain in right toe(s) BILLABLE CODE
M79.675 - Pain in left toe(s) BILLABLE CODE
M79.676 - Pain in unspecified toe(s) * BILLABLE CODE

Routine Child Health Examination

Z00.121 - Encounter for routine child health examination with abnormal findings BILLABLE CODE
Z00.129 - Encounter for routine child health examination without abnormal findings BILLABLE CODE

Urinary Tract Infection, Cystitis

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

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