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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