ICD-10 for Pediatrics

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

Road to 10, a CMS online tool built with physician input.

With Road to 10, you can:

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Build an ICD-10 action plan customized for

your practice

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interactive case studies to see how

your coding selections compare with your

peers¡¯ coding

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To get on the Road to 10 and find out more about ICD-10, visit:

ICD10



ICD-10 Compliance Date: October 1, 2015

Official CMS Industry Resources for the ICD-10 Transition

ICD10

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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.

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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.

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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.

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