Introduction
Urgent care centers are the front lines of outpatient medical services, treating a wide range of non-life-threatening conditions with the goal of providing fast, efficient, and accurate care. Whether patients present with respiratory infections, lacerations, sprains, minor burns, or acute illnesses, urgent care providers must document encounters with precision to ensure accurate clinical records and smooth billing operations.
Proper use of ICD-10 codes allows urgent care practices to reduce claim denials, improve coding compliance, and support the integration of services with a robust EHR and practice management system like DocVilla. This guide lists the most frequently used ICD-10 codes in urgent care settings and supports clinics using cloud-based EHRs, electronic prescriptions, and revenue cycle management software.
DocVilla provides all-in-one urgent care EHR software that includes customizable SOAP templates, real-time eligibility checks, electronic billing, and automated encounter charting that supports CPT/ICD-10 code mapping.
Acute Respiratory Illness ICD-10 Codes for Urgent Care
- J06.9 — Acute upper respiratory infection, unspecified
- J00 — Acute nasopharyngitis (common cold)
- J02.9 — Acute pharyngitis, unspecified
- J03.90 — Acute tonsillitis, unspecified
- J04.0 — Acute laryngitis
- J20.9 — Acute bronchitis, unspecified
- J18.9 — Pneumonia, unspecified organism
- R05 — Cough
- R06.2 — Wheezing
Fever and Flu-Like Symptoms ICD 10 codes for Urgent Care
- R50.9 — Fever, unspecified
- J11.1 — Influenza with other respiratory manifestations, virus not identified
- J10.1 — Influenza with other respiratory manifestations, confirmed influenza virus
- R68.83 — Chills (without fever)
- R53.83 — Other fatigue
Ear, Nose, and Throat Complaints ICD 10 codes for Urgent Care
- H66.91 — Otitis media, right ear, unspecified
- H66.92 — Otitis media, left ear, unspecified
- H61.23 — Impacted cerumen, bilateral
- H61.20 — Impacted cerumen, unspecified ear
- J34.89 — Other specified disorders of nose and nasal sinuses
- J31.0 — Chronic rhinitis
Skin Infections and Dermatological Conditions ICD 10 codes for Urgent Care
- L03.90 — Cellulitis, unspecified
- B00.9 — Herpesviral infection, unspecified
- B08.4 — Enteroviral vesicular stomatitis with exanthem
- L02.91 — Cutaneous abscess, unspecified
- L08.9 — Local infection of skin and subcutaneous tissue, unspecified
- L70.0 — Acne vulgaris
- L30.9 — Dermatitis, unspecified
Gastrointestinal Urgent Complaints ICD 10 codes for Urgent Care
- R11.10 — Vomiting, unspecified
- R11.2 — Nausea with vomiting
- R19.7 — Diarrhea, unspecified
- K59.00 — Constipation, unspecified
- R10.84 — Generalized abdominal pain
- R10.9 — Unspecified abdominal pain
- A09 — Infectious gastroenteritis and colitis, unspecified
Musculoskeletal and Orthopedic Injuries ICD 10 codes for Urgent Care
- S93.401A — Sprain of unspecified ligament of right ankle, initial encounter
- S83.401A — Sprain of unspecified ligament of right knee, initial encounter
- S63.501A — Sprain of unspecified ligament of right wrist, initial encounter
- M54.5 — Low back pain
- M25.511 — Pain in right shoulder
- S40.011A — Contusion of right shoulder, initial encounter
- S00.83XA — Contusion of other part of head, initial encounter
- S30.0XXA — Contusion of lower back and pelvis, initial encounter
- R29.898 — Other symptoms and signs involving the musculoskeletal system
Fractures and Joint Injuries ICD 10 codes for Urgent Care
- S52.501A — Unspecified fracture of lower end of right radius, initial encounter
- S42.001A — Fracture of unspecified part of right clavicle, initial encounter
- S82.101A — Unspecified fracture of lower leg, right leg, initial encounter
- S92.001A — Fracture of unspecified toe, right foot, initial encounter
- S52.201A — Fracture of shaft of right ulna, initial encounter
Lacerations and Wound Care
- S01.81XA — Laceration without foreign body of other part of head, initial encounter
- S01.511A — Laceration without foreign body of right cheek and temporomandibular area, initial
- S51.801A — Laceration without foreign body of right forearm, initial
- T81.89XA — Other complications of procedures, not elsewhere classified, initial
- Z48.01 — Encounter for change or removal of surgical wound dressing
Burns and Injuries
- T30.0XXA — Burn of unspecified body region, unspecified degree, initial
- T24.211A — Burn of second degree of right thigh, initial
- T31.0 — Burns involving less than 10% of body surface
- T20.30XA — Burn of unspecified degree of scalp, initial
Urinary Tract and Genitourinary Conditions
- N39.0 — Urinary tract infection, site not specified
- R30.0 — Dysuria
- R35.0 — Frequency of micturition
- N10 — Acute pyelonephritis
- R33.9 — Retention of urine, unspecified
- N30.00 — Acute cystitis without hematuria
Allergic Reactions and Immunologic Cases
- T78.40XA — Allergy, unspecified, initial encounter
- T78.2XXA — Anaphylactic shock, unspecified, initial encounter
- L50.9 — Urticaria, unspecified
- J30.9 — Allergic rhinitis, unspecified
- Z91.010 — Peanut allergy
- Z91.012 — Egg allergy
Mental Health Crises
- F41.9 — Anxiety disorder, unspecified
- F32.9 — Major depressive disorder, single episode, unspecified
- R45.851 — Suicidal ideation
- R45.850 — Homicidal ideation
- F43.10 — Post-traumatic stress disorder, unspecified
- F99 — Mental disorder, not otherwise specified
Headaches, Concussions, and Neurological Symptoms
- R51.9 — Headache, unspecified
- G44.1 — Vascular headache
- S06.0X0A — Concussion without loss of consciousness, initial encounter
- R42 — Dizziness and giddiness
- R55 — Syncope and collapse
- R56.9 — Unspecified convulsions
Foreign Body and Minor Surgical Procedures
- T17.300A — Unspecified foreign body in pharynx, initial encounter
- T18.9XXA — Foreign body of alimentary tract, unspecified, initial encounter
- T15.90XA — Foreign body in external eye, unspecified eye, initial
- Z48.02 — Encounter for removal of sutures
- Z48.00 — Encounter for change or removal of nonsurgical wound dressing
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