ICD-10-CM Coding for COVID-19

Effective February 20, 2020, the following effective is to provide coding instructions for coding COVID-19 and related conditions.

 

Confirmed COVID-10

– For cases where there is an actual exposure to someone who is confirmed to have COVID-19, assign the code Z20.828, Contact with and (suspected) exposure to other viral communicable diseases.

 

COVID-10 Ruled Out

– When a patient has been evaluated and COVID-19 has been ruled out; code Z03.818, Encounter for observation for suspected exposure to other biological agents ruled out.

 

COVID-19 Coding Examples
When a patient experiences a respiratory condition related (due to) COVID-19; code the respiratory condition first followed by B97.29, Other coronavirus as the cause of diseases classified elsewhere.

Example1: Lower respiratory infection

J22, Unspecified acute lower respiratory infection

B97.29, Other coronavirus as the cause of diseases classified elsewhere

Example2: Pneumonia due to

J12.89, Other viral pneumonia

B97.29, Other coronavirus as the cause of diseases classified elsewhere

Example 3: Acute bronchitis due to

J20.8, Acute bronchitis due to other specified organisms

B97.29, Other coronavirus as the cause of diseases classified elsewhere

 

New Guidance Effective April 1, 2020
Guidance for coding COVID-19 will change. A NEW code U07. 1 for COVID-19 is required. This is a primary code followed by any manifestations/symptoms of the disease. The new code, U07.1, should be reported for confirmed cases only. Healthcare providers should continue to follow the interim guidelines from the CDC for unconfirmed cases of suspected exposure of COVID-19 or signs and symptoms.

 

As of today, below is the ICD-10-CM addenda information available on the COVID-19 code:

 

Chapter 22

Codes for special purposes (U00-U85)

Provisional assignment of new diseases of uncertain etiology or emergency use (U00-U49)

 

Add:   Note: Codes U00-U49 are to be used by WHO for the provisional assignment of new diseases of uncertain etiology. U07 Conditions of uncertain etiology

 

New code: U07.1 COVID-19

 

Add         Use additional code to identify pneumonia or other manifestations.

Add         Excludes1: Coronavirus infection, unspecified site (B34.2)

Add         Coronavirus as the cause of diseases classified to other chapters                     (B97.2-)

Add         Severe acute respiratory syndrome [SARS], unspecified (J12.81)

 

https://www.cdc.gov/nchs/data/icd/March-2020-Proposals.pdf See page 68

 

Joan L. Usher, BS, RHIA, HCS-D, ACE

JLU Health Record Systems

www.jluhealth.com

781-829-9636