126 codes
Pediatric codes
Diagnoses the Medicare Code Editor expects only for patients age 0 through 17. Source: Medicare Code Editor (MCE) v44, effective October 1, 2026.
Chapter 1: Certain infectious and parasitic diseases
Chapter 2: Neoplasms
Chapter 4: Endocrine, nutritional and metabolic diseases
Chapter 5: Mental, Behavioral and Neurodevelopmental disorders
Chapter 6: Diseases of the nervous system
Chapter 7: Diseases of the eye and adnexa
- H26.001Unspecified infantile and juvenile cataract, right eye
- H26.002Unspecified infantile and juvenile cataract, left eye
- H26.003Unspecified infantile and juvenile cataract, bilateral
- H26.009Unspecified infantile and juvenile cataract, unspecified eye
- H26.011Infantile and juvenile cortical, lamellar, or zonular cataract, right eye
- H26.012Infantile and juvenile cortical, lamellar, or zonular cataract, left eye
- H26.013Infantile and juvenile cortical, lamellar, or zonular cataract, bilateral
- H26.019Infantile and juvenile cortical, lamellar, or zonular cataract, unspecified eye
- H26.031Infantile and juvenile nuclear cataract, right eye
- H26.032Infantile and juvenile nuclear cataract, left eye
- H26.033Infantile and juvenile nuclear cataract, bilateral
- H26.039Infantile and juvenile nuclear cataract, unspecified eye
- H26.041Anterior subcapsular polar infantile and juvenile cataract, right eye
- H26.042Anterior subcapsular polar infantile and juvenile cataract, left eye
- H26.043Anterior subcapsular polar infantile and juvenile cataract, bilateral
- H26.049Anterior subcapsular polar infantile and juvenile cataract, unspecified eye
- H26.051Posterior subcapsular polar infantile and juvenile cataract, right eye
- H26.052Posterior subcapsular polar infantile and juvenile cataract, left eye
- H26.053Posterior subcapsular polar infantile and juvenile cataract, bilateral
- H26.059Posterior subcapsular polar infantile and juvenile cataract, unspecified eye
- H26.061Combined forms of infantile and juvenile cataract, right eye
- H26.062Combined forms of infantile and juvenile cataract, left eye
- H26.063Combined forms of infantile and juvenile cataract, bilateral
- H26.069Combined forms of infantile and juvenile cataract, unspecified eye
- H26.09Other infantile and juvenile cataract
Chapter 11: Diseases of the digestive system
Chapter 12: Diseases of the skin and subcutaneous tissue
Chapter 14: Diseases of the genitourinary system
Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
- R04.81Acute idiopathic pulmonary hemorrhage in infants
- R10.83Colic
- R62.0Delayed milestone in childhood
- R62.51Failure to thrive (child)
- R63.31Pediatric feeding disorder, acute
- R63.32Pediatric feeding disorder, chronic
- R68.11Excessive crying of infant (baby)
- R68.12Fussy infant (baby)
- R68.13Apparent life threatening event in infant (ALTE)
- R68.19Other nonspecific symptoms peculiar to infancy
Chapter 19: Injury, poisoning and certain other consequences of external causes
- T74.02XAChild neglect or abandonment, confirmed, initial encounter
- T74.02XDChild neglect or abandonment, confirmed, subsequent encounter
- T74.02XSChild neglect or abandonment, confirmed, sequela
- T74.12XAChild physical abuse, confirmed, initial encounter
- T74.12XDChild physical abuse, confirmed, subsequent encounter
- T74.12XSChild physical abuse, confirmed, sequela
- T74.22XAChild sexual abuse, confirmed, initial encounter
- T74.22XDChild sexual abuse, confirmed, subsequent encounter
- T74.22XSChild sexual abuse, confirmed, sequela
- T74.32XAChild psychological abuse, confirmed, initial encounter
- T74.32XDChild psychological abuse, confirmed, subsequent encounter
- T74.32XSChild psychological abuse, confirmed, sequela
- T74.4XXAShaken infant syndrome, initial encounter
- T74.4XXDShaken infant syndrome, subsequent encounter
- T74.4XXSShaken infant syndrome, sequela
- T74.52XAChild sexual exploitation, confirmed, initial encounter
- T74.52XDChild sexual exploitation, confirmed, subsequent encounter
- T74.52XSChild sexual exploitation, confirmed, sequela
- T74.62XAChild forced labor exploitation, confirmed, initial encounter
- T74.62XDChild forced labor exploitation, confirmed, subsequent encounter
- T74.62XSChild forced labor exploitation, confirmed, sequela
- T74.92XAUnspecified child maltreatment, confirmed, initial encounter
- T74.92XDUnspecified child maltreatment, confirmed, subsequent encounter
- T74.92XSUnspecified child maltreatment, confirmed, sequela
- T74.A2XAChild financial abuse, confirmed, initial encounter
- T74.A2XDChild financial abuse, confirmed, subsequent encounter
- T74.A2XSChild financial abuse, confirmed, sequela
- T76.02XAChild neglect or abandonment, suspected, initial encounter
- T76.02XDChild neglect or abandonment, suspected, subsequent encounter
- T76.02XSChild neglect or abandonment, suspected, sequela
- T76.12XAChild physical abuse, suspected, initial encounter
- T76.12XDChild physical abuse, suspected, subsequent encounter
- T76.12XSChild physical abuse, suspected, sequela
- T76.22XAChild sexual abuse, suspected, initial encounter
- T76.22XDChild sexual abuse, suspected, subsequent encounter
- T76.22XSChild sexual abuse, suspected, sequela
- T76.32XAChild psychological abuse, suspected, initial encounter
- T76.32XDChild psychological abuse, suspected, subsequent encounter
- T76.32XSChild psychological abuse, suspected, sequela
- T76.52XAChild sexual exploitation, suspected, initial encounter
- T76.52XDChild sexual exploitation, suspected, subsequent encounter
- T76.52XSChild sexual exploitation, suspected, sequela
- T76.62XAChild forced labor exploitation, suspected, initial encounter
- T76.62XDChild forced labor exploitation, suspected, subsequent encounter
- T76.62XSChild forced labor exploitation, suspected, sequela
- T76.92XAUnspecified child maltreatment, suspected, initial encounter
- T76.92XDUnspecified child maltreatment, suspected, subsequent encounter
- T76.92XSUnspecified child maltreatment, suspected, sequela
- T76.A2XAChild financial abuse, suspected, initial encounter
- T76.A2XDChild financial abuse, suspected, subsequent encounter
- T76.A2XSChild financial abuse, suspected, sequela
Chapter 21: Factors influencing health status and contact with health services
- Z00.121Encounter for routine child health examination with abnormal findings
- Z00.129Encounter for routine child health examination without abnormal findings
- Z00.2Encounter for examination for period of rapid growth in childhood
- Z00.3Encounter for examination for adolescent development state
- Z00.70Encounter for examination for period of delayed growth in childhood without abnormal findings
- Z00.71Encounter for examination for period of delayed growth in childhood with abnormal findings
- Z02.84Encounter for child welfare exam
- Z04.42Encounter for examination and observation following alleged child rape
- Z04.72Encounter for examination and observation following alleged child physical abuse
- Z62.21Child in welfare custody
- Z62.23Child in custody of non-parental relative
- Z62.24Child in custody of non-relative guardian
- Z62.3Hostility towards and scapegoating of child
- Z69.010Encounter for mental health services for victim of parental child abuse
- Z69.020Encounter for mental health services for victim of non-parental child abuse
- Z72.810Child and adolescent antisocial behavior
- Z73.810Behavioral insomnia of childhood, sleep-onset association type
- Z73.811Behavioral insomnia of childhood, limit setting type
- Z73.812Behavioral insomnia of childhood, combined type
- Z73.819Behavioral insomnia of childhood, unspecified type
- Z76.2Encounter for health supervision and care of other healthy infant and child