If the baby is positive for COVID, report P00.2 and U07.1 to indicate the infection in the newborn.įor asymptomatic individuals who are screened for COVID-19 and have no known exposure to the virus, and the test results are either unknown or negative, assign code Z11.59, Encounter for screening for other viral diseases.įor individuals who are screened due to a possible or actual exposure to COVID-19, see guideline for Exposure.įor asymptomatic individuals who test positive for COVID-19, assign code U07.1. If during the hospital stay, the baby is tested and COVID infection is ruled out, report Z05.1, Observation and evaluation of newborn for suspected infectious condition ruled out. When a newborn is born to a mother who is COVID positive but the baby’s status is unknown, report code P00.2, Newborn affected by maternal infectious and parasitic diseases. When there is an exposure to someone who is confirmed or suspected (not ruled out) to have COVID-19 and the exposed individual either tests negative or the test results are unknown, assign code Z20.828. Do not report the Z03.818 if patient has other signs/symptoms. If there is a concern about a possible exposure to COVID-19, but this is ruled out after evaluation, assign code Z03.818, Encounter for observation for suspected exposure to other biological agents ruled out. Assign a code(s) explaining the reason for encounter (such as fever) and/or Z20.828, Contact with and (suspected) exposure to other viral communicable diseases. If the provider documents "suspected," "possible," "probable" or “inconclusive” COVID-19, do not assigncode U07.1. J80 Acute respiratory distress syndrome.J98.8 Other specified respiratory disorders.J22 Unspecified acute lower respiratory infection.J40 Bronchitis not specified as acute or chronic.J20.8 Acute bronchitis due to other specified organisms.In addition, report any contributory conditions as secondary diagnosis codes to the U07.1 diagnosis including (but not limited to):
Confirmation does not require documentation of the type of test performed the provider’s documentation that the individual has COVID-19 is sufficient. Following is information that will help with coding for diagnosis and testing and getting paid for telehealth services.Īssign code U07.1, COVID-19, for a confirmed diagnosis of the 2019 novel coronavirus disease (COVID-19) as documented by the provider, a positive COVID-19 test result or a presumptive positive COVID-19 test result. Ĭoding for encounters related to COVID-19 is changing rapidly. Editor's note: For the latest news on COVID-19, visit.
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