ICD Tip – The Latest on COVID-19

ICD-10 MS-DRGs Version 37.1 Effective April 1, 2020

Coding Discharges on or after 4/1/2020

*Please note: As of 4/1/2020, new code ICD-10 CM U07.1 will be available

Code U07.1, 2019-nCoV acute respiratory disease will be implemented into ICD-10-CM with the update effective April 1, 2020. National Center for Health Statistics (NCHS) developed interim coding advice in a supplement to the ICD-10-CM Official Coding Guidelines effective February 20, 2020.

ScenarioBefore 4/1/2020On and After 4/1/2020
Pneumonia due to COVID-19J12.89 Other viral pneumonia 
B97.29 Other coronavirus as the cause of diseases classified elsewhere
U07.1 COVID-19
J12.89 Other Viral Pneumonia
Acute bronchitis due to COVID-19J20.8 Acute bronchitis due to other specified organisms
B97.29 Other coronavirus as the cause of diseases classified elsewhere
U07.1 COVID-19
J20.8 Acute Bronchitis due to other specified organisms
ARDS due to COVID-19J80  Acute respiratory distress syndrome
B97.29 Other coronavirus as the cause of diseases classified elsewhere
U07.1 COVID-19
J80 Acute respiratory distress syndrome

For possible exposure to COVID-19 that is ruled out after evaluation, assign code Z03.818 (Encounter for observation for suspected exposure to other biological agents ruled out). If a patient was exposed to someone with a confirmed case of COVID-19, assign code Z20.828 (Contact with and suspected exposure to other viral communicable diseases).

If a patient presents with signs or symptoms without an established definitive diagnosis, assign codes for each of the presenting signs and symptoms such as:

  • Cough (R05)
  • Shortness of breath (R06.02)
  • Fever, unspecified (R50.9)

Ref: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200223-sitrep-34-covid-19.pdf?sfvrsn=44ff8fd3_2

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