Pediatric Surgery Referral Guidelines
CHOC Children’s Specialists in pediatric surgery provide surgical services and management including, but not limited to the following conditions:
Condition
Abdominal
Pain
Codes
ICD-9: 789.00
ICD-10: R10.0
Condition
Failure to
Thrive
Anal Fistula
ICD-9: 565.1
ICD-10: K60.3
Gallstones
Balanitis
ICD-9: 607.1
ICD-10: N48.1
Branchial
Cleft
ICD-9 Code
Condition
Mass,
Abdominal
ICD-9 Code
ICD-9: 574.2
ICD-10: K80.20
K80.80
Mass, Breast
ICD-9: 611.72
ICD-10: N63
Mass, Trunk
ICD-9: 216.5
ICD-10: D23.5
TEF
ICD-9: 750.3
ICD-10: Q39.*
Ganglion
ICD-9: 727.43
ICD-10: M67.40
Mass, Cheek
ICD-9: 784.2
ICD-10: R22.*
Omphalocele
ICD-9: 756.72
ICD-10: Q79.2
ICD-9: 759.2
ICD-10: Q89.2
ICD-9: 744.41
ICD-10: Q18.0
Gastroschisis
ICD-9: 756.73
ICD-10: Q79.3
ICD-9: 216.6
ICD-10: D23.6
ICD-9: 553.3
ICD-10: K44.9
Gastrostomy
Tube
ICD-9: 536.49
ICD-10: K94.29
Circumcision
ICD-9: 605
ICD-10: N47.*
GERD
ICD-9: 530.81
ICD-10: K21.9
Mass, Lung
ICD-9: 786.6
ICD-10: R22.2
ICD-9: 685.*
ICD-10: L05.*
Constipation
ICD-9: 564.00
ICD-10: K59.00
Hematochezia
ICD-9: 578.1
ICD-10: K92.1
Mass,
Mediastinum
ICD-9: 786.6
ICD-10: R22.2
ICD-9: 755.01
ICD-10: Q69.*
Vomiting
ICD-9: 536.2
ICD-10: R11.10
Crohn’s
Disease
ICD-9: 555.9
ICD-10: K509.*
ICD-9: 550.9*
ICD-10: K40.9*
Mass, Neck
ICD-9: 216.4
ICD-10: D23.4
Dialysis
ICD-9: 585.*
ICD-10: Z49.0*
ICD-9: 553.1
ICD-10: K42.9
Mass, Pelvic
ICD-9: 789.3*
ICD-10: R19.0*
Epigastric
Hernia
Hernia,
Inguinal
Hernia,
Umbilical
ICD-9: 553.29
ICD-10: K43.9
Hydrocele
ICD-9: 603.9
ICD-10: N43.3
Mass, Testes
ICD-9: 608.89
ICD-10: N44.8
Pectus
Carinatum
Pectus
Excavatum
Pilonidal
Disease
Polydactyl,
Finger
Polydactyl,
Toe
Preauricular
Cyst
Prenatal
Consult
ICD-9: 754.82
ICD-10: Q67.7
CDH
Mass, Ext
Upper
Mass,
Head/Scalp
Thyroglossal
Duct Cyst
Ulcerative
Colitis
Undescended
Testes
Vascular
Access
ICD-9: 783.41
ICD-10: R62.51
ICD-9: 789.3*
ICD-10: R19.0*
ICD-9: 216.4
ICD-10: D23.4
Condition
Mass,
Thyroid
ICD-9 Code
ICD-9: 784.2
ICD-10: R22.1
ICD-9: 754.81
ICD-10: Q67.7
Condition
Pyloric
Stenosis
ICD-9 Code
ICD-9: 537.0
ICD-10: K31.1
ICD-9: 558.9
ICD-10: K52.*
ICD-9: 752.51
ICD-10: Q53.*
ICD-9: V58.8*
ICD-10: Z45.2
ICD-9: 755.02
ICD-10: Q69.2
ICD-9: 744.47
ICD-10: Q18.1
ICD-9: V65.11
ICD-10: Z76.81
For any referral questions or to schedule an appointment, please call 714-364-4050.
Pre-referral work-up is not required for most conditions. Please fax any relevant information and/or work-up to 714-364-4051.
For urgent referral after business hours, your call will be forwarded to an answering service and responded to by the physician on call.
Pediatric surgery services are available in Orange, Mission Viejo, Newport Beach, Irvine and Corona.
To speak with a CHOC Children’s Specialist in Pediatric Surgery or schedule an appointment, please call 714-364-4050
Fax ALL pertinent medical records or workup to 714-364-4051
Website: http://www.choc.org/specialists/pediatric-surgery
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October 6, 2015