ICD-10 for Pediatrics - CMS
ICD-10
Clinical Concepts
for Pediatrics
ICD-10 Clinical Concepts Series
Common Codes
Clinical Documentation Tips
Clinical Scenarios
ICD-10 Clinical Concepts for Pediatrics is a feature of
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ICD10
ICD-10 Compliance Date: October 1, 2015
Official CMS Industry Resources for the ICD-10 Transition
ICD10
1
Table Of Contents
Common Codes
? Abdominal Pain
? Headache
? Acute Bronchitis
? Otitis Media
? Acute Pharyngitis
? Pain in Limb
? Allergic Inflammation of the
Nasal Airways
? Routine Child Health
Examination
? Asthma
? Urinary Tract
Infection, Cystitis
? Chest Pain
? Diabetes Mellitus (Select)
Clinical Documentation Tips
? Asthma
? Underdosing
? Diabetes Mellitus,
Hypoglycemia and
Hyperglycemia
? Injuries
? Well Child Exams
and Screening
? Otitis Media
? Bronchitis and Bronchiolitis
? Feeding Problems
of the Newborn
Clinical Scenarios
? Scenario 1: Diarrhea,
Fever, and Vomiting
? Scenario 3: Asthma
and Atopic Dermatitis
? Scenario 2: Physical
for Preschool Entrance
? Scenario 4:
Newborn Feeding
Common Codes
ICD-10 Compliance Date: October 1, 2015
Abdominal Pain (ICD-9-CM 789.00 to 789.09 range)
R10.0
R10.10
R10.11
R10.12
R10.13
R10.2
R10.30
R10.31
R10.32
R10.33
R10.84
R10.9*
Acute abdomen
Upper abdominal pain, unspecified
Right upper quadrant pain
Left upper quadrant pain
Epigastric pain
Pelvic and perineal pain
Lower abdominal pain
Right lower quadrant pain
Left lower quadrant pain
Periumbilical pain
Generalized abdominal pain
Unspecified abdominal pain
*Codes with a greater degree of specificity should be considered first.
3
Acute Bronchitis (ICD-9-CM 466.0, 466.11, 466.19)
[Note: Organisms should be specified where possible]
J20.0
J20.1
J20.2
J20.3
J20.4
J20.5
J20.6
J20.7
J20.8
J20.9*
Acute bronchitis due to Mycoplasma pneumoniae
Acute bronchitis due to Hemophilus influenzae
Acute bronchitis due to streptococcus
Acute bronchitis due to coxsackievirus
Acute bronchitis due to parainfluenza virus
Acute bronchitis due to respiratory syncytial virus
Acute bronchitis due to rhinovirus
Acute bronchitis due to echovirus
Acute bronchitis due to other specified organisms
Acute bronchitis, unspecified
*Codes with a greater degree of specificity should be considered first.
Acute Pharyngitis (ICD-9-CM 034.0, 462)
J02.0
J02.8
J02.9*
Streptococcal pharyngitis
Acute pharyngitis due to other specified organisms
Acute pharyngitis, unspecified
*Codes with a greater degree of specificity should be considered first.
4
Allergic Inflammation of the Nasal Airways (ICD-9-CM 477.0 TO
477.9 range)
J30.0
J30.1
J30.2
J30.5
J30.81
J30.89
J30.9*
Vasomotor rhinitis
Allergic rhinitis due to pollen
Other seasonal allergic rhinitis
Allergic rhinitis due to food
Allergic rhinitis due to animal (cat) (dog) hair and dander
Other allergic rhinitis
Allergic rhinitis, unspecified
*Codes with a greater degree of specificity should be considered first.
Asthma (ICD-9-CM 493.00, 493.01, 493.02, 493.10, 493.11, 493.12,
493.20, 493.21, 493.22, 493.81, 493.82 , 493.90, 493.91, 493.92)
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
J45.902*
Unspecified asthma with status asthmaticus
J45.909*
Unspecified asthma, uncomplicated
J45.990
Exercise induced bronchospasm
J45.991
Cough variant asthma
J45.998
Other asthma
*Codes with a greater degree of specificity should be considered first.
5
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