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).