The Table shows the top 25 diagnoses reported by pediatricians for encounters with infants and children through 18 years of age. The associated International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) and ICD-10-CM codes, as well as correct coding tips for some of the codes, are also provided. The top 25 list is taken from an American Academy of Pediatrics analysis of the National Ambulatory Medical Care Survey (2003–2008).

ICD-9-CM codes are used to establish medical necessity for patient treatment and care. They provide the common language for reporting and tracking of morbidity and mortality and statistics related to health care costs and disease management. Payment is not based on the diagnosis code. However, the diagnosis code must support why the service or procedure was performed and necessary. Be aware that payers will use diagnosis codes as part of their review of physician utilization patterns, making it crucial to...

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