The American Academy of Pediatrics (AAP) is pleased to publish this third edition of Pediatric ICD-10-CM: A Manual for Provider-
Based Coding, a pediatric version of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
manual. As we continue this new chapter in diagnostic coding, the AAP believed it was vital to publish an ICD-10-CM manual that is
more manageable for pediatric providers. The expansive nature of the code set from International Classification of Diseases, Ninth
Revision, Clinical Modification to ICD-10-CM overwhelmed many physicians, providers, and coders, so we condensed the code set by
only providing pediatric-relevant diagnoses and their corresponding codes. However, as we move forward, we want members to have
access to more codes and those that are less common in pediatrics but still need to be included. We reduced the guidelines so that only
those applicable to the physician or provider are included, while those only relevant to facilities are removed. When needed, they can
be located in the larger ICD-10-CM manual. Lastly, guidelines that exist for topic-specific chapters or specific codes can now be found
in their respective tabular chapter or right where the specific code is listed. This will aid the user in identifying any chapter- or code-
specific guidelines right where they are needed most. This should assist in reducing any coding errors caused by reporting services that
go against the guidelines that were once solely kept in the front of the manual, away from applicable codes. In addition, tips are included
throughout to aid in your coding. These are unique to this manual.
The AAP is committed to the clinical modification of the ICD code set and, for the past several years, sent an AAP liaison, Jeffrey
F. Linzer Sr, MD, FACEP, FAAP, to the ICD Coordination and Maintenance Committee Meeting. This is the semiannual meeting where
all new ICD codes are presented, as well as revisions to the tabular list, index, and guidelines. Having a dedicated expert liaison aids
in presenting pediatric issues at the meeting. The AAP is also very pleased to continue its work with the ICD Editorial Advisory Board
for Coding Clinic for ICD-10-CM and ICD-10-PCS. Coding Clinic is responsible for publishing ICD coding guidance and clarifications to
supplement the ICD-10-CM manual. Dr Linzer sits on the Editorial Advisory Board to represent pediatric issues and is an expert on all
ICD-10-CM matters.
The AAP will continue to support its members on issues regarding coding, and the Division of Health Care Finance at the AAP
headquarters stands ready to assist with problem areas not adequately covered in this manual. The AAP Coding Hotline can be
accessed through e-mail at
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