Pediatric ICD-10 Diagnosis Codes - PCC Learn
Pediatric ICD-10
Diagnosis Codes
Eyes
Conjunctivitis
H10.011 Acute Follicular conjuctivitis, right
H10.012 Acute Follicular conjuctivitis, left
H10.013 Acute Follicular conjunctivitis, bilateral
H10.021 Other mucopurulent conjunctivitis, rt
H10.022 Other mucopurulent conjunctivitis, lt
H10.023 Other mucupurulent conjunctivitis, bil
H04.011 Acute dacryoadenitits, rt
H04.012 Acute dacryoadenitits, lt
H04.013 Acute dacryadenititis, bil
use additional code Z77.22 for exposure
to enviornmental Tobaco smoke/ second hand smoke (chronic)
ENT
Acute suppurative Otitis Media without spontaneous rupture of ear
drum
H10.11 Acute atopic conjunctivitis, rt
H10.12 Acute atopic conjunctivitis, lt
H10.13 Acute atopic conjunctivitis, bil
H57.8 Red Eyes, bil, rt or lt
Acute suppurative Otitis Media without spontaneous rupture of ear
drum, recurrent
H66.001 right ear
H66.004 recurrent, right ear
H66.002 left ear
H66.005 recurrent, left ear
H66.003 bilateral
H66.006 recurrent, bilateral
H66.009 , unspecified ear
H66.007 recurrent, unspecified ear
H66.01 Acute suppurative otitis media with spontaneous rupture of ear
drum
H66.011 right ear
H66.014 recurrent, right ear
H66.012 left ear
H66.015 recurrent, left ear
H66.013 bilateral
H66.016 recurrent, bilateral
H66.019 .. Unspecified ear
H66.017 recurrent, unspecified ear
H65.0 Acute Serous Otitis Media
H65.00 Acute Serous Otitis Media, unspecified ear
H65.01 Acute Serous Otitis Media, right ear
H65.02 Acute Serous Otitis Media, left ear
H65.03 Acute Serous Otitis Media, bil ear
H65.04 Acute Serous Otitis Media, right ear, recurrent
H65.05 Acute Serous Otitis Media, left ear, recurretn
H66.1 Chronic tubotympanic suppurative otitis media
H66.1 Chronic tubotympanic suppurative otitis media
H66.10 unspecified
H66.10 unspecified
H66.11 right ear
H66.11 right ear
H66.12 left ear
H66.12 left ear
H66.13 bilateral
H66.13 bilateral
K20 Esophagitis
K20.0 Eosinophilic esophagitis
K20.8 Other esophagitis
K20.9 Esophagitis, unspecified
Other Ear problems
H60.31 Diffuse Otitis Externa
Swimmers Ear
H60.331 swimmers ear, right ear
H60.311 Diffuse OE, right ear
H60.332 swimmers ear, left ear
H60.312 Diffuse OE, left ear
H60.333 swimmers ear, bil ear
H60.313 Diffuse, OE, bil. Ears
H92.0 1 Otalgia, right ear
H92.02 Otalgia, left ear
H92.03 Otalgia, bil ear
H61.21 Impacted Cerumen, rt
H61.22 Impacted Cerumen, lt
H61.23 Impacted Cerumen, bil
Pharyngitis
J02 Acute pharyngitis
R09.82 Post nasal Drip
J02.0 Streptococcal pharyngitis
J02.8 Acute pharyngitis due to other specified organisms
J02.9 Acute pharyngitis, unspecified
J36 Peritonsillar Abcess
J06.0 Acute laryngopharyngitis
1
R09.81 Nasal congestion
J31.1 Acute nasopharyngitis
Pediatric ICD-10
Diagnosis Codes
Tonsillitis
J03.90 Acute Tonsillitis, unspecified
**J03.00 Acute Tonsillitis, streptococcal
**Use additional dx
B95.0 group A Strep
B95.1 Group B Strep
** J03.90 Acute Tonsillitis, due to other
Acute Sinusitis
J01.0 Acute maxillary sinusitis
Chronic sinusitis
J32.0 Chronic maxillary sinusitis
J01.00 unspecified
J32.1 Chronic frontal sinusitis
J01.01 Acute recurrent maxillary sinusitis
J32.2 Chronic ethmoidal sinusitis
J01.1 Acute frontal sinusitis
J32.3 Chronic sphenoidal sinusitis
J01.10 unspecified
J32.4 Chronic pansinusitis
J01.11 Acute recurrent frontal sinusitis
J32.8 Other chronic sinusitis
J01.2 Acute ethmoidal sinusitis
J32.9 Chronic sinusitis, unspecified
J01.20 unspecified
J01.21 Acute recurrent ethmoidal sinusitis
J01.3 Acute sphenoidal sinusitis
J01.30 unspecified
J01.31 Acute recurrent sphenoidal sinusitis
J01.4 Acute pansinusitis
J01.40 unspecified
J01.41 Acute recurrent pansinusitis
J01.8 Other acute sinusitis
J01.80 Other acute sinusitis
J01.81 Other acute recurrent sinusitis
J01.90 Acute sinusitis, unspecified
J01.91 Acute recurrent sinusitis, unspecified
Bronchitis
J20.5 Acute bronchitis due to respiratory syncytial virus
Allergic Rhinitis
J30.1 Allergic Rhinitis due to pollen
J20.6 Acute bronchitis due to rhinovirus
J30.2 Allergic Rhinitis due to other seasonal
J20.7 Acute bronchitis due to echovirus
J30.81 Allergic Rhinitis due to animal
J20.8 Acute bronchitis due to other specified organisms
J30.9
J20.9 Acute bronchitis, unspecified
J45.909 Allergic Rhinitis with Asthma
Bronchiolitis/Pneumonia
J21.0 Bronchiolitis, RSV
Allergic Rhinitis due ot unspecified
J98.01 Acute Bronchiospasm
J21.8 Bronchiolitis, due to other organism
J05.0
J21.9
J44.9
J12.9
J18.0
J15.9
Croup
Acute Bronchiolitis, unspecified
Chronic Bronchiolitis
Viral Pneumonia
Bronchopneumonia
Unspecified bacterial pneumonia
FLU
J11.1 Flu, unidentified virus
J10.8 Flu with GI manifestations
J01.1 Flu with other resp manifestations
J09.X1 Influenza A with pneumonia
J09.X3 Influenza A with GI manifestations
J06.9 Upper Respiratory Tract Infection, acute or subacute
Asthma
J45.2 Mild intermittent asthma
J45.5 Severe persistent asthma
J45.20 uncomplicated
J45.50 uncomplicated
J45.21 with (acute) exacerbation
J45.51 with (acute) exacerbation
J45.22 with status asthmaticus
J45.52 with status asthmaticus
J45.3 Mild persistent asthma
J45.9 Other and unspecified asthma
J45.30 uncomplicated
J45.90 Unspecified asthma
J45.31 with (acute) exacerbation
J45.901 with (acute) exacerbation
J45.32 with status asthmaticus
J45.902 with status asthmaticus
J45.909 uncomplicated
J45.4 Moderate persistent asthma
J45.99 Other asthma
J45.40 uncomplicated
J45.41 with (acute) exacerbation
J45.42 with status asthmaticus
R06.2 Wheezing NOS
2
R06.0 Dyspnea
J45.990 Exercise induced bronchospasm
R09.02 Hypoxia
J45.991 Cough variant asthma
R06.82 Tachypnea
Pediatric ICD-10
Diagnosis Codes
J45.998 Other asthma
R05 Cough
Cardiac
R01.0 Benign and innocent cardiac murmur
R06.02 Shortness of Breath
R06.09 Stridor
R01.1 Cardiac murmur, unspecified
R01.2 Other Cardiac sound
R23.0 Cyanosis
R00.0 Tachycardia, unspecified
Gastroentestinal
K59.0 Constipation
Abdominal Pain And Tenderness
R10.811 Right upper quadrant abdominal pain
K59.00 Constipation, unspecified
R10.812 Left upper quadrant abdominal pain
R15.0 Encopresis (incomplete defecation)
R10.813 Right lower quadrant abdominal pain
R14.0 Abdominal distension
R10.814 left lower quadrant abdominal pain
R14.1 Gas Pain
R10.815 Perumbilic abdominal tenderness
R19.4 Change in bowel habits
R10.817 Generalized abdominal tenderness
K92.1 Melena
R10.819 Abdominal tenderness, unspecified site
R19.7 Diarrhea
R10.821 Right upper quadrant rebound abdominal tenderness
K21.9 GERD
R10.822 Left upper quadrant rebound abdominal tenderness
K21.0 Gerd with esophagitis
R10.823 Right lower quadrant rebound abdominal tenderness
P78.3 Neonatal diarrhea
R10.824 Left lower quadrant rebound abdominal tenderness
K59.4 Anal spasm
R10.825 Perumbilic rebound abdominal tenderness
K59.8 Other specified functional intestinal disorders
R10.826 Epigastric rebound abdominal tenderness
K59.9 Functional intestinal disorder, unspecified
K52.9 Enteritis (acute) (diarrheal) (hemorrhagic) (noninfective)
A08.0 Rotavirus
Gastroenteritis (acute) (chronic) (noninfectious) : see Enteritis
R11.0 Nausea
R11.10 Vomiting, unspecified
R11.11 Vomiting without nausea
R11.12 Projective vomiting
R11.14 Bilious vomiting
Genito-urinary
N30.00 Acute Cystitis without hematuria
R30.0 Dysuria
R31.0 Gross Hematuria
R31.9 Hematuria, unspecified
R32 Enuresis NOS
N39.44 Nocturnal enuresis
R33.9 Retention of urine
R35.0 Frequency of micturition
R35.1 Nocturia
R39.15 Urgency of urination
N94.3 Dysmenorrhea
N39.0 UTI
Use additiona code (B95 to B97) to identify infectious agent
Musculo-Skeletal And Skin
B08.3 Fifth Disease
L22 Diaper Dermatitis
Dermatitis
B08.4 Hand, foot and mouth disease
L23.89 Allergic Dermatitis due to other agents
B07.8 Wart, Common
L23.9 Allergic contact eczema
B07.0 Wart, Plantar
L20.84 Allergic intrinsic eczema
L03.01 Cellulitis of finger
L20.83 Infantil (acute or chronic) eczema
L03.1 Cellulitis of other parts of limbs (specify site for more specificity)
L21.0 Cradle cap
L03.9 Unspecified cellulitis
L21.1 Seborrheic infantile dermatitis
L50.0 Urticaria, allergic
L29.9 Puritus, unspecified (Itch, NOS)
L50.9 Urticaria, unspecified
Abrasions
T07 Abrasions to multiple sites
Signs and Symptoms
R63.6 Underweight
R63.4 Abnormal weight loss
3
FEVER
R56.00 Febrile Convulsion, simple
R50.81 Fever presenting with conditions classified elsewhere
Pediatric ICD-10
Diagnosis Codes
Code First: underlying condition when associated fever is
present such as with leukemia, neutopenia, sickle cell disease
R62.51 Failure to Thrive
R00.1 Bradycardia, unspecified
R50.82 Postprocedural fever
R29.4 Clicking hip
Excludes 1: postprocedural inf., posttransfusion fever, postvaccination
R68.83 Chills without fever
R50.83 Postvaccination fever
E86.0 Dehydration (excludes neonatal)
R50.84 Febrile nonhemolytic transfusion reaction
E30.0 Delayed Puberty
R50.9
R62.0 Delayed Milestone in childhood
Fever, unspecified (FUO)
R50.9
Fever with chills, fever with rigors, Hyperpyrexia NOS,
persistant fever
R42 Dizziness
R62.52 Short Stature
Z03.89 Encounter for observation and evaluation of a condition not found
R62.50 Unsp. Lack of expected normal physiological develop in child
R53.83 Fatigue, lethargy
R68.12 Fussy infant
Z79.899 Long term use of drug therapy (instead of ADD/ADHD)
R23.1 Pallor
R23.3 Petechiae
R21 Rash
R55 Syncope
R53.1 Weakness
S&S of an Emotional State: use instead of mental health codes
R45.0 Nervousness
R45.1 Restlessness
R45.81 Low self esteem
R45.83 Excessive crying in child, adolescent and adult
R68.11 Excessive crying in infant
R45.87 Impulsiveness
Encounter for Routine child Health Exam
Z00.121 Encounter for routine child health exam with abnormal findings
Neonates (0-28 days)/Infants (29 days- 12 mo)
P83.4 Breast Engorgement of newborn
Z00.129 Encounter for well visit without abnormal findings
Z00.111 Newborn Health Examination (under 8 to 28 days)
P59.3 breast milk jaundice
Z01.00 Encounter for exam of eyes and vision without abnormal findings
P92.6 Failure to Thrive in Newborn
Z01.01 Encounter for exam of eyes and vision with abnormal findings
R63.3 Feeding difficulties
Z01.10 Encounter for exam of ears and hearing without abnormal findings
P92.9 Feeding problem in newborn, unspecified
Z01.11 Encounter for exam of ears and hearing with abnormal findings
P81.9 Fever, Newborn
R68.12 Fussy infant
Z01.818 Encounter for preprocedural exam, other
Z02.5 Encounter for participation in sports
E80.6 Hyperbilirubinemia
Z23 Any vaccine
P92.5 Neonatal difficulty in feeding at breast
P59.8 Jaundice assoc. or due to delayed conjucation
P59.9 Neonatal Jaundice
P92.2 Slow feeding of newborn
P00.89 Obs. And Eval of a newborn affected by mother not found
Obesity
Z68.51 BMI less than 5th% for age
Z68.52 BMI 5th% to less than 85th%
Z68.53 BMI 85th% to less than 95th%
Z68.54 BMI equal to or greater than 95th%
E66.9 Unsepcified obesity
R63.5 Abnormal weight gain
4
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