CPC

28 Sept 2020

Covid-19 Guidelines

 

ICD Guidelines for Coronavirus Infections:


1.     Covid-19 Infection due to SARS-CoV-2

 

A.    Code only Confirmed Cases:


- For +ve test result - U07.1 (Covid-19)

 

- For Suspected / Probable / Inconclusive – Code the reported Signs and Symptoms.

 

B.    Sequencing:


- Covid-19 (U07.1) should be sequenced first followed by associated manifestations.

 

- Except OB / Sepsis or Transplant complications would be reported as principal Dx.


- During Pregnancy O98.5- should be sequenced first followed by U07.1, any associated manifestation can be assigned as an additional diagnosis.


For a newborn that test positive for Covid-19 and was contracted in utero or during the birth process – Assign P35.8 and U07.1, If there is no indication about the COVID transmissions to the newborn then assign U07.1

 

C.     Acute respiratory manifestation of Covid-19:


If the reason for admission or encounter is a respiratory manifestation of Covid-19, assign the code U07.1 as the principal diagnosis and followed by respiratory manifestations.

 

I.                   Pneumonia due to Covid-19:  U07.1, J12.89

 

II.                Acute bronchitis due to Covid-19: U07.1, J20.8

 

III.             Bronchitis due to Covid-19: U07.1, J40

 

IV.             Lower respiratory infection due to Covid-19: U07.1, J22

 

V.                Respiratory infection due to Covid-19: U07.1, J98.8

 

VI.             Acute respiratory distress syndrome due to Covid-19: U07.1, J80

 

VII.          Acute respiratory failure due to Covid-19: U07.1 J96.0-

 

 

D.    Non-respiratory manifestations of Covid-19


- Viral enteritis due to Covid-19: U07.1, viral enteritis

 

E.     Exposure to Covid-19


Asymptomatic individual with actual or suspected exposure to Covid-19, Assign Z20.828

 

F.     Screening for Covid-19


During the Covid-19 pandemic, a screening code is generally not appropriate. Code it as exposure to Covid-19.

 

G.    Signs and Symptoms without a definitive diagnosis of Covid-19


If there is no definitive diagnosis, assign presenting signs and symptoms.

 

H.   Asymptomatic individuals – Test positive for Covid-19


Use U07.1

 

I.       Personal History of Covid-19


Assign Z86.19 (Personal H/o of other infectious and parasitic diseases).

 

J.       Follow up after Covid-19 has resolved


Assign Z09 (Encounter for follow up examination) and

             Z86.19 (Personal H/o of other infectious and parasitic diseases

 

K.    Encounter for Antibody testing


Assign Z01.84 (Encounter for antibody response examination).