The annual changes to International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes will be implemented on October 1, 2020. This article provides a review of changes that may be of interest to pediatricians. Complete code change files can be downloaded from

The following changes were made based on requests from the American Academy of Pediatrics (AAP). The AAP also requested new codes for sickle cell diseases and congenital myopathies, which are discussed in the article, “ICD-10-CM 2020–2021: New and Revised Codes for Syndromes,” elsewhere in this issue.

Four new codes for neonatal cerebral infarction will be implemented as requested by the AAP.

Report neonatal cerebral infarction when these conditions occur between 20 weeks of fetal age through the 28th postnatal day. Do not report cerebral infarction (I63.-) or neonatal cerebral ischemia (P91.0) in conjunction with codes P91.821–P91.829. Intracranial...

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