ICD-10-CM Clinical Concepts · FY 2026 193 Codes
Common ICD-10-CM Codes for Clinical Concepts for Pediatrics ICD-10-CM
Clinical Concepts for Pediatrics providers see a recurring set of conditions, and this reference collects the 193 ICD-10-CM codes they report most often, organized into 24 clinical concepts from abdominal pain onward. Billable codes carry the green check; entries with the amber note point at a category where a more specific code should be considered first. Every code links to its full code page for verification.
✓ Codes validated against the official CMS FY 2026 code setEffective Oct 1, 2025 – Sep 30, 2026
24
Concept Groups
193
Codes
191
Billable
FY 2026
Dataset
193 of 193 shown
Abdominal Pain 12 codes
- 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 Non-billable
- 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 specificity
Acute Bronchitis 10 codes
- 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 specificity
Acute Pharyngitis 3 codes
- J02.0 Streptococcal pharyngitis
- J02.8 Acute pharyngitis due to other specified organisms
- J02.9 Acute pharyngitis, unspecified specificity
Acute Serous Otitis Media 8 codes
- H65.00 Acute serous otitis media, unspecified ear specificity
- 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 specificity
Acute Suppurative Otitis Media 16 codes
- H66.001 Acute suppurative otitis media without spontaneous rupture of ear drum, right ear
- H66.002 Acute suppurative otitis media without spontaneous rupture of ear drum, left ear
- H66.003 Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral
- H66.004 Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear
- H66.005 Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left ear
- H66.006 Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral
- H66.007 Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified ear specificity
- H66.009 Acute suppurative otitis media without spontaneous rupture of ear drum, unspecified ear specificity
- H66.011 Acute suppurative otitis media with spontaneous rupture of ear drum, right ear
- H66.012 Acute suppurative otitis media with spontaneous rupture of ear drum, left ear
- H66.013 Acute suppurative otitis media with spontaneous rupture of ear drum, bilateral
- H66.014 Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, right ear
- H66.015 Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, left ear
- H66.016 Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, bilateral
- H66.017 Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified ear specificity
- H66.019 Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear specificity
Allergic Inflammation of the Nasal Airways 7 codes
- 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 specificity
Asthma 18 codes
- 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 specificity
- J45.902 Unspecified asthma with status asthmaticus specificity
- J45.909 Unspecified asthma, uncomplicated specificity
- J45.990 Exercise induced bronchospasm
- J45.991 Cough variant asthma
- J45.998 Other asthma
Chest Pain 6 codes
- R07.1 Chest pain on breathing
- R07.2 Precordial pain
- R07.81 Pleurodynia
- R07.82 Intercostal pain
- R07.89 Other chest pain
- R07.9 Chest pain, unspecified specificity
Chronic Atticoantral Suppurative Otitis Media 4 codes
- H66.20 Chronic atticoantral suppurative otitis media, unspecified ear specificity
- 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
Chronic Mucoid Otitis Media 4 codes
- H65.30 Chronic mucoid otitis media, unspecified ear specificity
- H65.31 Chronic mucoid otitis media, right ear
- H65.32 Chronic mucoid otitis media, left ear
- H65.33 Chronic mucoid otitis media, bilateral
Chronic Serous Otitis Media 4 codes
- H65.20 Chronic serous otitis media, unspecified ear specificity
- H65.21 Chronic serous otitis media, right ear
- H65.22 Chronic serous otitis media, left ear
- H65.23 Chronic serous otitis media, bilateral
Chronic Tubotympanic Suppurative Otitis Media 4 codes
- H66.10 Chronic tubotympanic suppurative otitis media, unspecified specificity
- 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
Diabetes Mellitus 4 codes
- 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 1 codes
- R51 Headache Non-billable
Other Acute Nonsuppurative Otitis Media 16 codes
- H65.111 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right ear
- H65.112 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left ear
- H65.113 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), bilateral
- H65.114 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, right ear
- H65.115 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left ear
- H65.116 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, bilateral
- H65.117 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified ear specificity
- H65.119 Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear specificity
- 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 Other acute nonsuppurative otitis media, recurrent, right ear
- H65.195 Other acute nonsuppurative otitis media, recurrent, left ear
- H65.196 Other acute nonsuppurative otitis media, recurrent, bilateral
- H65.197 Other acute nonsuppurative otitis media recurrent, unspecified ear specificity
- H65.199 Other acute nonsuppurative otitis media, unspecified ear specificity
Other Chronic Nonsuppurative Otitis Media 8 codes
- 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 specificity
- 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 specificity
Other Chronic Suppurative Otitis Media 4 codes
- 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 specificity
Otitis Media in Diseases Classified Elsewhere 4 codes
- 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, unspecified ear specificity
Otitis media, Unspecified 4 codes
- H66.90 Otitis media, unspecified, unspecified ear specificity
- H66.91 Otitis media, unspecified, right ear specificity
- H66.92 Otitis media, unspecified, left ear specificity
- H66.93 Otitis media, unspecified, bilateral specificity
Pain in Limb 31 codes
- M79.601 Pain in right arm
- M79.602 Pain in left arm
- M79.603 Pain in arm, unspecified specificity
- M79.604 Pain in right leg
- M79.605 Pain in left leg
- M79.606 Pain in leg, unspecified specificity
- M79.609 Pain in unspecified limb
- M79.621 Pain in right upper arm
- M79.622 Pain in left upper arm
- M79.629 Pain in unspecified upper arm specificity
- M79.631 Pain in right forearm
- M79.632 Pain in left forearm
- M79.639 Pain in unspecified forearm specificity
- M79.641 Pain in right hand
- M79.642 Pain in left hand
- M79.643 Pain in unspecified hand specificity
- M79.644 Pain in right finger(s)
- M79.645 Pain in left finger(s)
- M79.646 Pain in unspecified finger(s) specificity
- M79.651 Pain in right thigh
- M79.652 Pain in left thigh
- M79.659 Pain in unspecified thigh specificity
- M79.661 Pain in right lower leg
- M79.662 Pain in left lower leg
- M79.669 Pain in unspecified lower leg specificity
- M79.671 Pain in right foot
- M79.672 Pain in left foot
- M79.673 Pain in unspecified foot specificity
- M79.674 Pain in right toe(s)
- M79.675 Pain in left toe(s)
- M79.676 Pain in unspecified toe(s) specificity
Routine Child Health Examination 2 codes
- Z00.121 Encounter for routine child health examination with abnormal findings
- Z00.129 Encounter for routine child health examination without abnormal findings
Suppurative Otitis Media, Unspecified 4 codes
- H66.40 Suppurative otitis media, unspecified, unspecified ear specificity
- H66.41 Suppurative otitis media, unspecified, right ear specificity
- H66.42 Suppurative otitis media, unspecified, left ear specificity
- H66.43 Suppurative otitis media, unspecified, bilateral specificity
Unspecified Nonsuppurative Otitis Media 4 codes
- H65.90 Unspecified nonsuppurative otitis media, unspecified ear specificity
- H65.91 Unspecified nonsuppurative otitis media, right ear specificity
- H65.92 Unspecified nonsuppurative otitis media, left ear specificity
- H65.93 Unspecified nonsuppurative otitis media, bilateral specificity
Urinary Tract Infection, Cystitis 15 codes
- 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 specificity
Entries marked specificity point at a category: codes with a greater degree of specificity should be considered first.
Related References
Clinical Concepts for CardiologyClinical Concepts for Family PracticeClinical Concepts for Internal MedicineClinical Concepts for OB/GYNClinical Concepts for OrthopedicsAll Clinical ConceptsICD-10-CM Code LookupICD-10-CM Codes List
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.
