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Peds

ICD 10 Codes Commonly Used With Pediatrics

P00-P96 Certain Conditions Originating in the Perinatal Period

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P00-P04 Fetus and newborn affected by maternal factors and by complications of pregnancy, labor, and delivery
P05-P08 Disorders related to length of gestation and fetal growth
P10-P15 Birth trauma
P20-P29 Respiratory and cardiovascular disorders specific to the perinatal period
P35-P39 Infections specific to the perinatal period
P50-P61 Hemorrhagic and hematological disorders of fetus and newborn
P70-P74 Transitory endocrine and metabolic disorders specific to fetus and newborn
P75-P78 Digestive system disorders of fetus and newborn
P80-P83 Conditions involving the integument and temperature regulation of fetus and newborn
P90-P96 Other disorders originating in the perinatal period

Q00-Q99 Congenital Malformations, Deformations, and Chromosomal Abnormalities

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Q00-Q07 Congenital malformations of the nervous system
Q10-Q18 Congenital malformations of eye, ear, face, and neck
Q20-Q28 Congenital malformations of the circulatory system
Q30-Q34 Congenital malformations of the respiratory system
Q35-Q37 Cleft lip and cleft palate
Q38-Q45 Other congenital malformations of the digestive system
Q50-Q56 Congenital malformations of genital organs
Q60-Q64 Congenital malformations of the urinary system
Q65-Q79 Congenital malformations and deformations of the musculoskeletal system
Q80-Q89 Other congenital malformations
Q90-Q99 Chromosomal abnormalities, not elsewhere classified

Pediatrics Quick Screen

Past Medical History/Birth History

  • Significant medical history of biological parents

  • Mother's history during pregnancy, labor, and delivery

  • Child's history related to labor and delivery

  • Neonatal screening and immunization history

  • History of major childhood/adolescent illnesses

  • History of med/surgical procedures

  • Known allergies to food, medications, substances, etc

Developmental History

  • Infant/child temperament

  • Child/caregiver interactions & relationship

  • Growth and nutrition (grown chart)

  • Feeding: daily routine, preferences, or difficulties

  • Age of major milestone achievements

  • Bowel/bladder control and toilet training

Social History

  • Parents/caregivers' employment and hours working

  • Home layout, environment, exposures in home

  • Sleep routine of child

  • Use of car seat

  • School/daycare history

  • Signs of abuse or neglect

From World Health Organization. International Statistical Classification of Diseases, ed. 10. http://apps.who.int/classifications/icd10/browse/2010/en with permission.

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Apgar Scores
  Signs 0 Points 1 Point 2 Points
A Activity/muscle tone Absent Arms & legs flexed Active movement
P Pulse Absent Below 100 bpm Above 100 bpm
G Grimace (reflex irritability) No response Grimace Sneeze, cough, pulls away
A Appearance (skin color) Blue-gray/pale all over Normal except for extremities Normal over entire body
R Respiration Absent Slow, irregular Good crying

Interpretation: ≥7 is normal, 4–6 fairly low, <4 critically low

Common Birth Defects

  • Heart defects: 1/100

  • Cleft lip/palate: 1/700. Possible speech, eating, & language problems

  • Down syndrome: 1/800

  • Spina bifida: 1 in 2500. Possible bowel/bladder problems or paralysis

  • Other: musculoskeletal, gastrointestinal, metabolic

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