Acute respiratory failure due to COVID, U07.1, J96.0.COVID documented as associated with respiratory infection, NOS U07.1, J98.8.Lower Respiratory Infection COVID documented as being associated with LRI, U07.1, J22.Acute Bronchitis confirmed as due to COVID U07.1, J40.Pneumonia confirmed due to COVID U07.1, J12.89.I.C.1.g.1.c Acute respiratory manifestations of COVID-19: When the reason for the encounter/admission is a respiratory manifestation of COVID-19, assign code U07.1, COVID-19, as the principal/first-listed diagnosis and assign code(s) for the respiratory manifestation(s) as additional diagnoses.
Sequencing of codes: When COVID-19 meets the definition of principal diagnosis, code U07.1, COVID-19, should be sequenced first except when another guideline requires that certain codes be sequenced first, such as obstetrics, sepsis, or transplant complications. Instead code the signs and symptoms reported. If the provider documents “suspected,” “possible,” or “inclusive COVID-19, do not assign code U07.1.
Code only confirmed cases: Code only confirmed diagnosis of the 2019 novel coronavirus disease (COVID-19) as documented by the provider or documentation of a positive COVID-19 test result. Under this chapter, there are important updates for the COVID-19 coding, including the following: I.B.14 For social determinants of health:Patient self-reported documentation may also be used to assign codes for social determinants of health, as long as the patient self-reported information is signed-off by and incorporated into the health record by either a clinician or provider. The guideline below is important in how we report codes for social determinants of health. The updates for these were a little late this year due to COVID-19. There are several important changes to the guidelines, including those relating to COVID-19 coding.
We will cover the ICD-10-CM guidelines in this article and the ICD-10-CM code changes next month. For 2021, there are 490 new, 47 revised and 58 deleted ICD-10-CM codes.
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