Pediatric verses Adult Diagnosis Code

Official guidelines or instructions have not been created to differentiate between pediatric and adult diagnoses except for a few specific codes such as pediatric body mass index codes. Age instructions for codes Z00.121, Encounter for routine child health examination with abnormal findings or Z00.00, Encounter for general adult medical examination without abnormal findings are NOT part of the official ICD-10-CM classification, but are edits used by payers and supported by publishers of separate codebooks.

ICD-10-CM Coding Clinic Fourth Qtr. 2017, pg. 95


Abnormal Findings of Urinary Organs

It was requested by The American Urological Association that code R93.4, Abnormal findings on diagnostic imaging of urinary organs be expanded to uniquely distinguish abnormal findings found in diagnostic imaging of the kidney. The expansion includes laterality of kidneys, unspecified kidney, renal pelvis, ureter or bladder, and other urinary organs.

ICD-10-CM Coding Clinic Fourth Qtr. 2016, pg. 66


Encephalopathy due to Sepsis

Encephalopathy associated with sepsis is coded to code G93.41, Metabolic encephalopathy. ICD-10-CM gives direction to code a more specific code when the type of encephalopathy is documented. Indexed Encephalopathy, Septic.

ICD-10-CM Coding Clinic Second Qtr. 2017, pg. 8