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The clinical concepts for pediatrics guide includes common ICD-10 codes, clinical documentation tips and clinical scenarios.

Common ICD-10 Pediatrics Codes

  • Abdominal Pain
  • Acute Bronchitis
  • Acute Pharyngitis
  • Allergic Inflammation of the Nasal Airways
  • Asthma
  • Chest Pain
  • Diabetes Mellitus (Select)
  • Headache
  • Otitis Media
  • Pain in Limb
  • Routine Child Health Examination
  • Urinary Tract Infection, Cystitis

Abdominal Pain

(ICD-9-CM 789.00 to 789.09 range)

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
R10.30 Lower abdominal pain
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

Acute Bronchitis

(ICD-9-CM 466.0, 466.11, 466.19)
[Note: Organisms should be specified where possible]

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

Acute Pharyngitis

(ICD-9-CM 034.0, 462)

J02.0 Streptococcal pharyngitis
J02.8 Acute pharyngitis due to other specified organisms
J02.9* Acute pharyngitis, unspecified

Allergic Inflammation of the Nasal Airways

(ICD-9-CM 477.0 TO 477.9 range)

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

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

Chest Pain

(ICD-9-CM 786.50 TO 786.59 range)

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

Diabetes Mellitus (Select)

(ICD-9-CM 250.00 to 250.03 range)

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

(ICD-9-CM 784.0)

R51 Headache

Acute Serous Otitis Media

(ICD-9-CM 381.01)

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, 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

Other Acute Nonsuppurative Otitis Media

(ICD-9-CM 381.00, 381.02 to 381.06 range)

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
H65.119* Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified ear
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
H65.199* Other acute nonsuppurative otitis media, unspecified ear

Chronic Serous Otitis Media

(ICD-9-CM 381.10, 381.19)

H65.20* Chronic serous otitis media, unspecified ear
H65.21 Chronic serous otitis media, right ear
H65.22 Chronic serous otitis media, left ear
H65.23 Chronic serous otitis media, bilateral

Chronic Mucoid Otitis Media

(ICD-9-CM 381.20, 381.29)

H65.30* Chronic mucoid otitis media, unspecified ear
H65.31 Chronic mucoid otitis media, right ear
H65.32 Chronic mucoid otitis media, left ear
H65.33 Chronic mucoid otitis media, bilateral

Other Chronic Nonsuppurative Otitis Media

(ICD-9-CM 381.3)

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
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

Unspecified Nonsuppurative Otitis Media

(ICD-9-CM 381.4)

H65.90* Unspecified nonsuppurative otitis media, unspecified ear
H65.91* Unspecified nonsuppurative otitis media, right ear
H65.92* Unspecified nonsuppurative otitis media, left ear
H65.93* Unspecified nonsuppurative otitis media, bilateral

Acute Suppurative Otitis Media

(ICD-9-CM 382.00, 382.01)

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
H66.009* Acute suppurative otitis media without spontaneous rupture of ear drum, unspecified ear
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
H66.019* Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified ear

Chronic Tubotympanic Suppurative Otitis Media

(ICD-9-CM 382.1)

H66.10* Chronic tubotympanic suppurative otitis media, unspecified
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

Chronic Atticoantral Suppurative Otitis Media

(ICD-9-CM 382.2)

H66.20* Chronic atticoantral suppurative otitis media, unspecified ear
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

Other Chronic Suppurative Otitis Media

(ICD-9-CM 382.3)

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

Suppurative Otitis Media, Unspecified

(ICD-9-CM 382.4)

H66.40* Suppurative otitis media, unspecified, unspecified ear
H66.41* Suppurative otitis media, unspecified, right ear
H66.42* Suppurative otitis media, unspecified, left ear
H66.43* Suppurative otitis media, unspecified, bilateral

Otitis media, Unspecified

(ICD-9-CM 382.9)

H66.90* Otitis media, unspecified, unspecified ear
H66.91* Otitis media, unspecified, right ear
H66.92* Otitis media, unspecified, left ear
H66.93* Otitis media, unspecified, bilateral

Otitis Media in Diseases Classified Elsewhere

(ICD-9-CM 382.02)

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

Pain in Limb

(ICD-9-CM 729.5)

M79.601 Pain in right arm
M79.602 Pain in left arm
M79.603* Pain in arm, unspecified
M79.604 Pain in right leg
M79.605 Pain in left leg
M79.606* Pain in leg, unspecified
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
M79.631 Pain in right forearm
M79.632 Pain in left forearm
M79.639* Pain in unspecified forearm
M79.641 Pain in right hand
M79.642 Pain in left hand
M79.643* Pain in unspecified hand
M79.644 Pain in right finger(s)
M79.645 Pain in left finger(s)
M79.646* Pain in unspecified finger(s)
M79.651 Pain in right thigh
M79.652 Pain in left thigh
M79.659* Pain in unspecified thigh
M79.661 Pain in right lower leg
M79.662 Pain in left lower leg
M79.669* Pain in unspecified lower leg
M79.671 Pain in right foot
M79.672 Pain in left foot
M79.673* Pain in unspecified foot
M79.674 Pain in right toe(s)
M79.675 Pain in left toe(s)
M79.676* Pain in unspecified toe(s)

Routine Child Health Examination

(ICD-9-CM V20.2)

Z00.121 Encounter for routine child health examination with abnormal findings
Z00.129 Encounter for routine child health examination without abnormal findings

Urinary Tract Infection, Cystitis

(ICD-9-CM 595.0 to 595.4 range, 595.81, 595.82, 595.89, 595.9, 599.0)

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

*Codes with a greater degree of specificity should be considered first.