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ICD-10 Clinical Concepts for Pediatrics

Common ICD-10 Codes for pediatrics providers.

  • Abdominal Pain

    • R10.0Acute abdomen Billable

    • R10.10Upper abdominal pain, unspecified Billable

    • R10.11Right upper quadrant pain Billable

    • R10.12Left upper quadrant pain Billable

    • R10.13Epigastric pain Billable

    • R10.2Pelvic and perineal pain Billable

    • R10.30Lower abdominal pain, unspecified Billable

    • R10.31Right lower quadrant pain Billable

    • R10.32Left lower quadrant pain Billable

    • R10.33Periumbilical pain Billable

    • R10.84Generalized abdominal pain Billable

    • R10.9Unspecified abdominal pain * Billable

  • Acute Bronchitis

    • J20.0Acute bronchitis due to Mycoplasma pneumoniae Billable

    • J20.1Acute bronchitis due to Hemophilus influenzae Billable

    • J20.2Acute bronchitis due to streptococcus Billable

    • J20.3Acute bronchitis due to coxsackievirus Billable

    • J20.4Acute bronchitis due to parainfluenza virus Billable

    • J20.5Acute bronchitis due to respiratory syncytial virus Billable

    • J20.6Acute bronchitis due to rhinovirus Billable

    • J20.7Acute bronchitis due to echovirus Billable

    • J20.8Acute bronchitis due to other specified organisms Billable

    • J20.9Acute bronchitis, unspecified * Billable

  • Acute Pharyngitis

    • J02.0Streptococcal pharyngitis Billable

    • J02.8Acute pharyngitis due to other specified organisms Billable

    • J02.9Acute pharyngitis, unspecified * Billable

  • Allergic Inflammation of the Nasal Airways

    • J30.0Vasomotor rhinitis Billable

    • J30.1Allergic rhinitis due to pollen Billable

    • J30.2Other seasonal allergic rhinitis Billable

    • J30.5Allergic rhinitis due to food Billable

    • J30.81Allergic rhinitis due to animal (cat) (dog) hair and dander Billable

    • J30.89Other allergic rhinitis Billable

    • J30.9Allergic rhinitis, unspecified * Billable

  • Asthma

    • J45.20Mild intermittent asthma, uncomplicated Billable

    • J45.21Mild intermittent asthma with (acute) exacerbation Billable

    • J45.22Mild intermittent asthma with status asthmaticus Billable

    • J45.30Mild persistent asthma, uncomplicated Billable

    • J45.31Mild persistent asthma with (acute) exacerbation Billable

    • J45.32Mild persistent asthma with status asthmaticus Billable

    • J45.40Moderate persistent asthma, uncomplicated Billable

    • J45.41Moderate persistent asthma with (acute) exacerbation Billable

    • J45.42Moderate persistent asthma with status asthmaticus Billable

    • J45.50Severe persistent asthma, uncomplicated Billable

    • J45.51Severe persistent asthma with (acute) exacerbation Billable

    • J45.52Severe persistent asthma with status asthmaticus Billable

    • J45.901Unspecified asthma with (acute) exacerbation * Billable

    • J45.902Unspecified asthma with status asthmaticus * Billable

    • J45.909Unspecified asthma, uncomplicated * Billable

    • J45.990Exercise induced bronchospasm Billable

    • J45.991Cough variant asthma Billable

    • J45.998Other asthma Billable

  • Chest Pain

    • R07.1Chest pain on breathing Billable

    • R07.2Precordial pain Billable

    • R07.81Pleurodynia Billable

    • R07.82Intercostal pain Billable

    • R07.89Other chest pain Billable

    • R07.9Chest pain, unspecified * Billable

  • Diabetes Mellitus

    • E10.65Type 1 diabetes mellitus with hyperglycemia Billable

    • E10.9Type 1 diabetes mellitus without complications Billable

    • E11.65Type 2 diabetes mellitus with hyperglycemia Billable

    • E11.9Type 2 diabetes mellitus without complications Billable

  • Headache

    • R51Headache Non-Billable

  • Acute Serous Otitis Media

    • H65.00Acute serous otitis media, unspecified ear * Billable

    • H65.01Acute serous otitis media, right ear Billable

    • H65.02Acute serous otitis media, left ear Billable

    • H65.03Acute serous otitis media, bilateral Billable

    • H65.04Acute serous otitis media, recurrent, right ear Billable

    • H65.05Acute serous otitis media, recurrent, left ear Billable

    • H65.06Acute serous otitis media, recurrent, bilateral Billable

    • H65.07Acute serous otitis media, recurrent, unspecified ear * Billable

  • Other Acute Nonsuppurative Otitis Media

    • H65.111Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear Billable

    • H65.112Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear Billable

    • H65.113Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral Billable

    • H65.114Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear Billable

    • H65.115Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear Billable

    • H65.116Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral Billable

    • H65.117Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear * Billable

    • H65.119Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear * Billable

    • H65.191Other acute nonsuppurative otitis media, right ear Billable

    • H65.192Other acute nonsuppurative otitis media, left ear Billable

    • H65.193Other acute nonsuppurative otitis media, bilateral Billable

    • H65.194Other acute nonsuppurative otitis media, recurrent, right ear Billable

    • H65.195Other acute nonsuppurative otitis media, recurrent, left ear Billable

    • H65.196Other acute nonsuppurative otitis media, recurrent, bilateral Billable

    • H65.197Other acute nonsuppurative otitis media recurrent, unspecified ear * Billable

    • H65.199Other acute nonsuppurative otitis media, unspecified ear * Billable

  • Chronic Serous Otitis Media

    • H65.20Chronic serous otitis media, unspecified ear * Billable

    • H65.21Chronic serous otitis media, right ear Billable

    • H65.22Chronic serous otitis media, left ear Billable

    • H65.23Chronic serous otitis media, bilateral Billable

  • Chronic Mucoid Otitis Media

    • H65.30Chronic mucoid otitis media, unspecified ear * Billable

    • H65.31Chronic mucoid otitis media, right ear Billable

    • H65.32Chronic mucoid otitis media, left ear Billable

    • H65.33Chronic mucoid otitis media, bilateral Billable

  • Other Chronic Nonsuppurative Otitis Media

    • H65.411Chronic allergic otitis media, right ear Billable

    • H65.412Chronic allergic otitis media, left ear Billable

    • H65.413Chronic allergic otitis media, bilateral Billable

    • H65.419Chronic allergic otitis media, unspecified ear * Billable

    • H65.491Other chronic nonsuppurative otitis media, right ear Billable

    • H65.492Other chronic nonsuppurative otitis media, left ear Billable

    • H65.493Other chronic nonsuppurative otitis media, bilateral Billable

    • H65.499Other chronic nonsuppurative otitis media, unspecified ear * Billable

  • Unspecified Nonsuppurative Otitis Media

    • H65.90Unspecified nonsuppurative otitis media, unspecified ear * Billable

    • H65.91Unspecified nonsuppurative otitis media, right ear * Billable

    • H65.92Unspecified nonsuppurative otitis media, left ear * Billable

    • H65.93Unspecified nonsuppurative otitis media, bilateral * Billable

  • Acute Suppurative Otitis Media

    • H66.001Acute suppurative otitis media without spontaneous rupture of ear drum, right ear Billable

    • H66.002Acute suppurative otitis media without spontaneous rupture of ear drum, left ear Billable

    • H66.003Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral Billable

    • H66.004Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear Billable

    • H66.005Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left ear Billable

    • H66.006Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral Billable

    • H66.007Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified ear * Billable

    • H66.009Acute suppurative otitis media without spontaneous rupture of ear drum, unspecified ear * Billable

    • H66.011Acute suppurative otitis media with spontaneous rupture of ear drum, right ear Billable

    • H66.012Acute suppurative otitis media with spontaneous rupture of ear drum, left ear Billable

    • H66.013Acute suppurative otitis media with spontaneous rupture of ear drum, bilateral Billable

    • H66.014Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, right ear Billable

    • H66.015Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, left ear Billable

    • H66.016Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, bilateral Billable

    • H66.017Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear * Billable

    • H66.019Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear * Billable

  • Chronic Tubotympanic Suppurative Otitis Media

    • H66.10Chronic tubotympanic suppurative otitis media, unspecified * Billable

    • H66.11Chronic tubotympanic suppurative otitis media, right ear Billable

    • H66.12Chronic tubotympanic suppurative otitis media, left ear Billable

    • H66.13Chronic tubotympanic suppurative otitis media, bilateral Billable

  • Chronic Atticoantral Suppurative Otitis Media

    • H66.20Chronic atticoantral suppurative otitis media, unspecified ear * Billable

    • H66.21Chronic atticoantral suppurative otitis media, right ear Billable

    • H66.22Chronic atticoantral suppurative otitis media, left ear Billable

    • H66.23Chronic atticoantral suppurative otitis media, bilateral Billable

  • Other Chronic Suppurative Otitis Media

    • H66.3X1Other chronic suppurative otitis media, right ear Billable

    • H66.3X2Other chronic suppurative otitis media, left ear Billable

    • H66.3X3Other chronic suppurative otitis media, bilateral Billable

    • H66.3X9Other chronic suppurative otitis media, unspecified ear * Billable

  • Suppurative Otitis Media, Unspecified

    • H66.40Suppurative otitis media, unspecified, unspecified ear * Billable

    • H66.41Suppurative otitis media, unspecified, right ear * Billable

    • H66.42Suppurative otitis media, unspecified, left ear * Billable

    • H66.43Suppurative otitis media, unspecified, bilateral * Billable

  • Otitis media, Unspecified

    • H66.90Otitis media, unspecified, unspecified ear * Billable

    • H66.91Otitis media, unspecified, right ear * Billable

    • H66.92Otitis media, unspecified, left ear * Billable

    • H66.93Otitis media, unspecified, bilateral * Billable

  • Otitis Media in Diseases Classified Elsewhere

    • H67.1Otitis media in diseases classified elsewhere, right ear Billable

    • H67.2Otitis media in diseases classified elsewhere, left ear Billable

    • H67.3Otitis media in diseases classified elsewhere, bilateral Billable

    • H67.9Otitis media in diseases classified elsewhere, unspecified ear * Billable

  • Pain in Limb

    • M79.601Pain in right arm Billable

    • M79.602Pain in left arm Billable

    • M79.603Pain in arm, unspecified * Billable

    • M79.604Pain in right leg Billable

    • M79.605Pain in left leg Billable

    • M79.606Pain in leg, unspecified * Billable

    • M79.609Pain in unspecified limb Billable

    • M79.621Pain in right upper arm Billable

    • M79.622Pain in left upper arm Billable

    • M79.629Pain in unspecified upper arm * Billable

    • M79.631Pain in right forearm Billable

    • M79.632Pain in left forearm Billable

    • M79.639Pain in unspecified forearm * Billable

    • M79.641Pain in right hand Billable

    • M79.642Pain in left hand Billable

    • M79.643Pain in unspecified hand * Billable

    • M79.644Pain in right finger(s) Billable

    • M79.645Pain in left finger(s) Billable

    • M79.646Pain in unspecified finger(s) * Billable

    • M79.651Pain in right thigh Billable

    • M79.652Pain in left thigh Billable

    • M79.659Pain in unspecified thigh * Billable

    • M79.661Pain in right lower leg Billable

    • M79.662Pain in left lower leg Billable

    • M79.669Pain in unspecified lower leg * Billable

    • M79.671Pain in right foot Billable

    • M79.672Pain in left foot Billable

    • M79.673Pain in unspecified foot * Billable

    • M79.674Pain in right toe(s) Billable

    • M79.675Pain in left toe(s) Billable

    • M79.676Pain in unspecified toe(s) * Billable

  • Routine Child Health Examination

    • Z00.121Encounter for routine child health examination with abnormal findings Billable

    • Z00.129Encounter for routine child health examination without abnormal findings Billable

  • Urinary Tract Infection, Cystitis

    • N30.00Acute cystitis without hematuria Billable

    • N30.01Acute cystitis with hematuria Billable

    • N30.10Interstitial cystitis (chronic) without hematuria Billable

    • N30.11Interstitial cystitis (chronic) with hematuria Billable

    • N30.20Other chronic cystitis without hematuria Billable

    • N30.21Other chronic cystitis with hematuria Billable

    • N30.30Trigonitis without hematuria Billable

    • N30.31Trigonitis with hematuria Billable

    • N30.40Irradiation cystitis without hematuria Billable

    • N30.41Irradiation cystitis with hematuria Billable

    • N30.80Other cystitis without hematuria Billable

    • N30.81Other cystitis with hematuria Billable

    • N30.90Cystitis, unspecified without hematuria Billable

    • N30.91Cystitis, unspecified with hematuria Billable

    • N39.0Urinary tract infection, site not specified * Billable

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