Physicians and hospitals should prepare to use recent coding guidance directed from the Centers for Disease Control (CDC) for exposure to the novel 2019 coronavirus.
Effective April 1, 2020, a new ICD-10-CM code U07.1 should be used to report a patient who has tested positive for COVID-19.
The following guidance still applies after the diagnosis code takes effect:
- For suspected COVID-19, not confirmed or ruled out at the encounter, report codes for the presenting signs and symptoms. Do not report a code for coronavirus when this diagnosis is not stated in the medical record.
- For known exposure to COVID-19 (without diagnosis of COVID-19), report Z20.828, “Contact with and (suspected) exposure to other viral communicable diseases.”
- For suspected exposure to COVID-19 that is ruled out after evaluation, report Z03.818, “Encounter for observation for suspected exposure to other biological agents ruled out.” Â
CPT Code 87635 was previously created and implemented on March 13, 2020 to help report and track testing services related to COVID-19.
The Centers for Medicare & Medicaid Services (CMS) has also published Medicare Severity Diagnosis Related Group (MS-DRG) information related to COVID-19. Effective April 1, 2020, the diagnosis will be a Major Complication Comorbidity (MCC) and grouping will be dependent on the Major Diagnostic Category (MDC).
For inpatient cases related to COVID-19, potential MS-DRG classifications may include any of the following:
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