ICD Guidelines for Coronavirus Infections:

Uncategorized MECOpedia

Covid-19 Infection due to SARS-CoV-2

  1. Code only Confirmed Cases:
    • For +ve test result – U07.1 (Covid-19)
    • For Suspected / Probable / Inconclusive – Code the reported Signs and Symptoms.

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 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 8 and U07.1, If there is no indication about the COVID transmissions to the newborn then assign U07.1

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.

    • Pneumonia due to Covid-19:  U07.1, J12.89
    • Acute bronchitis due to Covid-19: U07.1, J20.8
    • Bronchitis due to Covid-19: U07.1, J40
    • Lower respiratory infection due to Covid-19: U07.1, J22
    • Respiratory infection due to Covid-19: U07.1, J98.8
    • Acute respiratory distress syndrome due to Covid-19: U07.1, J80
    • Acute respiratory failure due to Covid-19: U07.1 J96.0-

Non-respiratory manifestations of Covid-19

    • Viral enteritis due to Covid-19: 1, viral enteritis

Exposure to Covid-19

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

Screening for Covid-19

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

Signs and Symptoms without a definitive diagnosis of Covid-19

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

Asymptomatic individuals – Test positive for Covid-19

    • Use U07.1

Personal History of Covid-19

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

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

Encounter for Antibody testing

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