Introduction
Pediatricians encounter a wide range of conditions in children, from routine checkups and developmental assessments to chronic illnesses and acute conditions. Accurate coding is essential for proper documentation, timely reimbursement, and efficient medical practice management. ICD-10 codes (International Classification of Diseases, 10th Revision) are the cornerstone of billing and clinical documentation in pediatrics.
Below is a comprehensive list of common pediatric ICD-10 codes organized by category. This guide is intended for pediatricians, healthcare providers, medical coders, and pediatric practices looking to streamline their workflow and billing processes through accurate medical coding.
Developmental and Preventive Pediatric Codes
Routine Child Health Exams
- Z00.121 — Encounter for routine child health examination with abnormal findings
- Z00.129 — Encounter for routine child health examination without abnormal findings
- Z00.110 — Health examination for newborn under 8 days old
- Z00.111 — Health examination for newborn 8 to 28 days old
- Z02.0 — Encounter for examination for admission to educational institution
Vaccination and Immunization Visits
- Z23 — Encounter for immunization
- Z28.82 — Immunization not carried out due to caregiver refusal
- Z28.1 — Immunization not carried out due to patient decision for other reasons
Nutritional and Growth Monitoring
- R63.3 — Feeding difficulties
- R62.51 — Failure to thrive (child)
- R63.5 — Abnormal weight gain
- R63.4 — Abnormal weight loss
- E40-E46 — Malnutrition categories
- Z68.51-Z68.54 — BMI pediatric percentiles
Common Pediatric Respiratory ICD-10 Codes
Upper Respiratory Tract Infections (URI)
- J06.9 — Acute upper respiratory infection, unspecified
- J00 — Acute nasopharyngitis (common cold)
- J01.90 — Acute sinusitis, unspecified
- J02.9 — Acute pharyngitis, unspecified
- J03.90 — Acute tonsillitis, unspecified
Lower Respiratory Tract Infections
- J18.9 — Pneumonia, unspecified organism
- J20.9 — Acute bronchitis, unspecified
- J21.9 — Acute bronchiolitis, unspecified
Asthma
- J45.20 — Mild intermittent asthma, uncomplicated
- J45.21 — Mild intermittent asthma with (acute) exacerbation
- J45.30 — Mild persistent asthma, uncomplicated
- J45.40 — Moderate persistent asthma, uncomplicated
- J45.50 — Severe persistent asthma, uncomplicated
- J45.901 — Unspecified asthma with (acute) exacerbation
Gastrointestinal Disorders in Pediatrics
- K52.9 — Noninfective gastroenteritis and colitis, unspecified
- A09 — Infectious gastroenteritis and colitis, unspecified
- R11.0 — Nausea
- R11.10 — Vomiting, unspecified
- R11.2 — Nausea with vomiting, unspecified
- R10.9 — Unspecified abdominal pain
- R19.7 — Diarrhea, unspecified
- K59.00 — Constipation, unspecified
Pediatric Skin Conditions
- L30.9 — Dermatitis, unspecified
- L20.9 — Atopic dermatitis, unspecified
- L21.9 — Seborrheic dermatitis, unspecified
- B00.9 — Herpesviral infection, unspecified
- B01.9 — Varicella without complication
- B05.9 — Measles without complication
- B06.9 — Rubella without complication
- L50.9 — Urticaria, unspecified
Pediatric Neurological and Behavioral Diagnoses
- F84.0 — Autistic disorder
- F90.0 — Attention deficit disorder, predominantly inattentive type
- F90.1 — Attention deficit disorder with hyperactivity
- F91.9 — Conduct disorder, unspecified
- F81.0 — Specific reading disorder
- F81.2 — Mathematics disorder
- R56.9 — Unspecified convulsions
- G40.909 — Epilepsy, unspecified, not intractable, without status epilepticus
- G93.40 — Encephalopathy, unspecified
Eye and Vision-Related ICD-10 Codes
- H52.00 — Unspecified hypermetropia
- H52.10 — Unspecified myopia
- H52.4 — Presbyopia
- H52.2 — Astigmatism
- H10.9 — Conjunctivitis, unspecified
- H25.9 — Cataract, unspecified
- Z01.00 — Encounter for examination of eyes and vision without abnormal findings
Ear, Nose, and Throat (ENT) ICD-10 Codes
- H66.90 — Otitis media, unspecified, unspecified ear
- H65.90 — Nonsuppurative otitis media, unspecified, unspecified ear
- H61.23 — Impacted cerumen, bilateral
- J30.9 — Allergic rhinitis, unspecified
- J31.0 — Chronic rhinitis
Pediatric Infectious Diseases
- B34.9 — Viral infection, unspecified
- A41.9 — Sepsis, unspecified organism
- A49.9 — Bacterial infection, unspecified
- B08.4 — Enteroviral vesicular stomatitis with exanthem
- A87.9 — Viral meningitis, unspecified
- B33.3 — Retrovirus infections, not elsewhere classified
Pediatric Injury and Trauma Codes
- S09.90XA — Unspecified injury of head, initial encounter
- S00.81XA — Abrasion of other part of head, initial encounter
- S30.0XXA — Contusion of lower back and pelvis, initial encounter
- T74.12XA — Child neglect or abandonment, confirmed, initial encounter
- W19.XXXA — Unspecified fall, initial encounter
Genitourinary and Urological Pediatric Conditions
- N39.0 — Urinary tract infection, site not specified
- R30.0 — Dysuria
- R35.0 — Frequency of micturition
- N10 — Acute pyelonephritis
- N30.00 — Acute cystitis without hematuria
Endocrine and Metabolic Pediatric Disorders
- E03.9 — Hypothyroidism, unspecified
- E16.2 — Hypoglycemia, unspecified
- E11.9 — Type 2 diabetes mellitus without complications
- E10.9 — Type 1 diabetes mellitus without complications
- E66.9 — Obesity, unspecified
- E74.30 — Disorder of carbohydrate metabolism, unspecified
Pediatric Musculoskeletal Conditions
- M79.1 — Myalgia
- M62.81 — Muscle weakness (generalized)
- M25.50 — Pain in unspecified joint
- M21.40 — Flat foot, unspecified
- Q65.81 — Other congenital deformities of hip
Pediatric Mental Health and Emotional Disorders
- F32.9 — Major depressive disorder, single episode, unspecified
- F41.9 — Anxiety disorder, unspecified
- F93.0 — Separation anxiety disorder of childhood
- F93.1 — Social anxiety disorder of childhood
- F93.9 — Childhood emotional disorder, unspecified
Pediatric Oncology and Hematologic Codes
- C91.0 — Acute lymphoblastic leukemia, not having achieved remission
- D50.9 — Iron deficiency anemia, unspecified
- D64.9 — Anemia, unspecified
- D70.9 — Neutropenia, unspecified
- C71.9 — Malignant neoplasm of brain, unspecified
Pediatric Dermatologic Conditions
- L98.9 — Disorder of skin and subcutaneous tissue, unspecified
- B35.1 — Tinea unguium
- B35.3 — Tinea pedis
- L40.0 — Psoriasis vulgaris
- L73.0 — Acne vulgaris
Pediatric Allergies and Immunologic Conditions
- T78.40XA — Allergy, unspecified, initial encounter
- Z91.010 — Peanut allergy
- Z91.011 — Milk allergy
- Z91.012 — Egg allergy
- Z91.013 — Seafood allergy
Congenital and Genetic Disorders
- Q90.9 — Down syndrome, unspecified
- Q21.1 — Atrial septal defect
- Q21.0 — Ventricular septal defect
- Q93.5 — 22q11.2 deletion syndrome
- Q87.1 — Congenital malformation syndromes predominantly associated with short stature
Pediatric Sleep Disorders
- G47.00 — Insomnia, unspecified
- G47.30 — Sleep apnea, unspecified
- G47.33 — Obstructive sleep apnea (child)
- F51.02 — Adjustment insomnia
- F51.3 — Sleepwalking disorder
Pediatric Pain and Chronic Conditions
- R52 — Pain, unspecified
- G89.29 — Other chronic pain
- G44.1 — Vascular headache, not elsewhere classified
- M54.5 — Low back pain
- M79.7 — Fibromyalgia
This extensive list of ICD-10 codes for pediatrics helps streamline your documentation, insurance claims, and billing processes. With DocVilla’s all-in-one cloud-based EHR and practice management software, pediatricians can easily search for ICD-10 codes, submit claims, and manage patient records seamlessly.
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