ICD-10 for Pediatrics - CMS

1 1 ICD-10 Clinical Concepts SeriesICD-10 Clinical Concepts for Pediatrics is a feature of Road to 10, a CMS online tool built with physician input. ICD-10 With Road to 10, you can: l Build an ICD-10 action plan customized for your practice l Use interactive case studies to see how your coding selections compare with your peers coding l Access quick references from CMS and medical and trade associations l View in-depth webcasts for and by medical professionalsTo get on the Road to 10 and find out more about ICD-10 , visit: CMS Industry Resources for the ICD-10 Compliance Date: October 1, 2015 Clinical Conceptsfor PediatricsCommon CodesClinical Documentation TipsClinical Scenarios Scenario 1: Diarrhea, Fever, and Vomiting Scenario 2: Physical for Preschool Entrance Scenario 3: Asthma and Atopic Dermatitis Scenario 4: Newborn FeedingClinical ScenariosTable Of ContentsCommon CodesClinical Documentation Tips 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 Asthma Underdosing Diabetes Mellitus, Hypoglycemia and Hyperglycemia Injuries Well Child Exams and Screening Otitis Media Bronchitis and Bronchiolitis Feeding Problems of the Newborn3 Common CodesICD-10 Compliance Date.

2 October 1, Acute upper abdominal pain, Right upper quadrant Left upper quadrant Epigastric Pelvic and perineal Lower abdominal Right lower quadrant Left lower quadrant Periumbilical Generalized abdominal * Unspecified abdominal painAbdominal Pain (ICD-9-CM to range)*Codes with a greater degree of specificity should be considered Streptococcal Acute pharyngitis due to other specified * Acute pharyngitis, unspecifiedAcute Pharyngitis (ICD-9-CM , 462)*Codes with a greater degree of specificity should be considered Acute bronchitis due to Mycoplasma Acute bronchitis due to Hemophilus Acute bronchitis due to Acute bronchitis due to Acute bronchitis due to parainfluenza Acute bronchitis due to respiratory syncytial Acute bronchitis due to Acute bronchitis due to Acute bronchitis due to other specified * Acute bronchitis, unspecifiedAcute Bronchitis (ICD-9-CM , , )[Note.]

3 Organisms should be specified where possible]*Codes with a greater degree of specificity should be considered Vasomotor Allergic rhinitis due to Other seasonal allergic Allergic rhinitis due to Allergic rhinitis due to animal (cat) (dog) hair and Other allergic * Allergic rhinitis, Mild intermittent asthma, Mild intermittent asthma with (acute) Mild intermittent asthma with status Mild persistent asthma, Mild persistent asthma with (acute) Mild persistent asthma with status Moderate persistent asthma, Moderate persistent asthma with (acute) Moderate persistent asthma with status Severe persistent asthma, Severe persistent asthma with (acute) Severe persistent asthma with status * Unspecified asthma with (acute) * Unspecified asthma with status * Unspecified asthma, Exercise induced Cough variant Other asthmaAllergic Inflammation of the Nasal Airways (ICD-9-CM TO range)Asthma (ICD-9-CM , , , , , , , , , , , , , )*Codes with a greater degree of specificity should be considered first.

4 *Codes with a greater degree of specificity should be considered Chest pain on Precordial Intercostal Other chest * Chest pain, unspecifiedChest Pain (ICD-9-CM TO range)*Codes with a greater degree of specificity should be considered Type 1 diabetes mellitus with Type 1 diabetes mellitus without Type 2 diabetes mellitus with Type 2 diabetes mellitus without complicationsDiabetes Mellitus (Select) (ICD-9-CM to range)*Codes with a greater degree of specificity should be considered HeadacheHeadache (ICD-9-CM )*Codes with a greater degree of specificity should be considered * Acute serous otitis media, unspecified Acute serous otitis media, right Acute serous otitis media, left Acute serous otitis media, Acute serous otitis media, recurrent, right Acute serous otitis media, recurrent, left Acute serous otitis media, recurrent, * Acute serous otitis media, recurrent, unspecified earAcute Serous Otitis Media (ICD-9-CM )*Codes with a greater degree of specificity should be considered Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), right Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), left Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous)

5 , recurrent, right Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, left Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, * Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), recurrent, unspecified * Acute and subacute allergic otitis media (mucoid) (sanguinous) (serous), unspecified Other acute nonsuppurative otitis media, right Other acute nonsuppurative otitis media, left Other acute nonsuppurative otitis media, Other acute nonsuppurative otitis media, recurrent, right Other acute nonsuppurative otitis media, recurrent, left Other acute nonsuppurative otitis media, recurrent, * Other acute nonsuppurative otitis media recurrent, unspecified * Other acute nonsuppurative otitis media, unspecified earOther Acute Nonsuppurative Otitis Media (ICD-9-CM , to range)

6 *Codes with a greater degree of specificity should be considered * Chronic serous otitis media, unspecified Chronic serous otitis media, right Chronic serous otitis media, left Chronic serous otitis media, * Chronic mucoid otitis media, unspecified Chronic mucoid otitis media, right Chronic mucoid otitis media, left Chronic mucoid otitis media, bilateralChronic Serous Otitis Media (ICD-9-CM , )Chronic Mucoid Otitis Media (ICD-9-CM , )*Codes with a greater degree of specificity should be considered first.*Codes with a greater degree of specificity should be considered Chronic allergic otitis media, right Chronic allergic otitis media, left Chronic allergic otitis media, * Chronic allergic otitis media, unspecified Other chronic nonsuppurative otitis media, right Other chronic nonsuppurative otitis media, left Other chronic nonsuppurative otitis media, * Other chronic nonsuppurative otitis media, unspecified earOther Chronic Nonsuppurative Otitis Media (ICD-9-CM )

7 *Codes with a greater degree of specificity should be considered * Unspecified nonsuppurative otitis media, unspecified * Unspecified nonsuppurative otitis media, right * Unspecified nonsuppurative otitis media, left * Unspecified nonsuppurative otitis media, Acute suppurative otitis media without spontaneous rupture of ear drum, right Acute suppurative otitis media without spontaneous rupture of ear drum, left Acute suppurative otitis media without spontaneous rupture of ear drum, Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, * Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified * Acute suppurative otitis media without spontaneous rupture of ear drum, unspecified Acute suppurative otitis media with spontaneous rupture of ear drum, right Acute suppurative otitis media with spontaneous rupture of ear drum, left Acute suppurative otitis media with spontaneous rupture of ear drum, Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, right Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, left Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, * Acute suppurative otitis media with spontaneous rupture of ear drum, recurrent, unspecified * Acute suppurative otitis media with spontaneous rupture of ear drum, unspecified earUnspecified Nonsuppurative Otitis Media (ICD-9-CM )

8 Acute Suppurative Otitis Media (ICD-9-CM , )*Codes with a greater degree of specificity should be considered first.*Codes with a greater degree of specificity should be considered * Chronic tubotympanic suppurative otitis media, Chronic tubotympanic suppurative otitis media, right Chronic tubotympanic suppurative otitis media, left Chronic tubotympanic suppurative otitis media, bilateralChronic Tubotympanic Suppurative Otitis Media (ICD-9-CM )*Codes with a greater degree of specificity should be considered * Chronic atticoantral suppurative otitis media, unspecified Chronic atticoantral suppurative otitis media, right Chronic atticoantral suppurative otitis media, left Chronic atticoantral suppurative otitis media, bilateralChronic Atticoantral Suppurative Otitis Media (ICD-9-CM )*Codes with a greater degree of specificity should be considered Other chronic suppurative otitis media, right Other chronic suppurative otitis media, left Other chronic suppurative otitis media, * Other chronic suppurative otitis media, unspecified earOther Chronic Suppurative Otitis Media (ICD-9-CM )*Codes with a greater degree of specificity should be considered * Suppurative otitis media, unspecified, unspecified * Suppurative otitis media, unspecified, right * Suppurative otitis media, unspecified, left * Suppurative otitis media, unspecified, bilateralSuppurative Otitis Media, Unspecified (ICD-9-CM )

9 *Codes with a greater degree of specificity should be considered * Otitis media, unspecified, unspecified * Otitis media, unspecified, right * Otitis media, unspecified, left * Otitis media, unspecified, bilateralOtitis media, Unspecified (ICD-9-CM )*Codes with a greater degree of specificity should be considered Otitis media in diseases classified elsewhere, right Otitis media in diseases classified elsewhere, left Otitis media in diseases classified elsewhere, * Otitis media in diseases classified elsewhere, unspecified earOtitis Media in Diseases Classified Elsewhere (ICD-9-CM )*Codes with a greater degree of specificity should be considered Pain in right Pain in left * Pain in arm, Pain in right Pain in left * Pain in leg, Pain in unspecified Pain in right upper Pain in left upper * Pain in unspecified upper Pain in right Pain in left * Pain in unspecified Pain in right Pain in left * Pain in unspecified Pain in right finger(s) Pain in left finger(s) * Pain in unspecified finger(s) Pain in right Pain in left * Pain in unspecified Pain in right lower Pain in left lower * Pain in unspecified lower Pain in right Pain in left * Pain in unspecified Pain in right toe(s) Pain in left toe(s) * Pain in unspecified toe(s)Pain in Limb (ICD-9-CM )

10 *Codes with a greater degree of specificity should be considered Encounter for routine child health examination with abnormal Encounter for routine child health examination without abnormal findingsRoutine Child Health Examination (ICD-9-CM )*Codes with a greater degree of specificity should be considered Acute cystitis without Acute cystitis with Interstitial cystitis (chronic) without Interstitial cystitis (chronic) with Other chronic cystitis without Other chronic cystitis with Trigonitis without Trigonitis with Irradiation cystitis without Irradiation cystitis with Other cystitis without Other cystitis with Cystitis, unspecified without Cystitis, unspecified with * Urinary tract infection, site not specified Urinary Tract Infection, Cystitis (ICD-9-CM to range, , , , , )*Codes with a greater degree of specificity should be considered anatomical location and laterality required by ICD-10 is easier than you think.