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Condition/Reason for EncounterICD-10 CM COVID -19 through 03.31.2020B97.29 04.01.2020 forwardU07.1 COVID 19Sequence 1st except when another guideline requires differently (OB, sepsis, transplant)After 09.30.2020 DO NOT CODE PRESUMPTIVE POSITIVEPossible exposure to COVID-19 but ruled out after evaluationZ03.818 Encounter for observation for suspected exposure to other biological agents ruled outActual exposure to someone confirmed to have COVID-19Z20.828 Contact with and (suspected) exposure to other viral communicable diseases through 09.30.2020Z03.818 Encounter for observation for suspected exposure to other biological agents ruled out 10.01.2020Asymptomatic with actual or suspected exposureZ20.828 Contact with and (suspected) exposure to other viral communicable diseases “Suspected”, “Probable” “Possible”Code reason for encounter (S&S) or Z20.828 Contact with and (suspected) exposure to other viral communicable diseasesSigns/SymptomsDefinitive diagnosis has not been established, assign the appropriate code(s) for each of the presenting signs and symptoms such as: Cough (R05); Shortness of breath (R06.02) or Fever unspecified (R50.9).Signs/Symptoms associated with COVID-19 AND actual or suspected exposure to COVID-19Appropriate signs and symptoms (cough, shortness of breath, fever, etc) followed byZ20.828, Contact with and (suspected) exposure to other viral communicable diseasesAsymptomatic individuals who test positive for COVID-19U07.1 COVID 19Screen for asymptomatic with known exposure, test results are negative or unknownZ11.59 Encounter for screening for other viral diseases through 09.30.2020Screening for COVID-19 10.01.2020During COVID-19 pandemic, a screening code is generally not appropriate. For encounters for COVID-19 testing, including preoperative testing code as exposure to COVID-19 *Coding guidance will be updated as new information concerning any changes in pandemic status becomes available.Personal history of COVID 19Patient who was previously COVID-19 positive but is no longer.Z86.19 Personal history of other infections and parasitic diseases 10.01.2020Follow up visits after COVID 19 resolvedZ09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasmsZ86.19 Personal history of other infections and parasitic diseases Encounter for antibody testing Not to confirm Covid Not as follow-up after resolutionZ01.84 Encounter for antibody response examinationCondition/reason for EncounterICD-10 CMCOVID-19 in pregnancy, childbirth, puerperiumPregnant patient with healthcare encounter because of COVID-10O98.5- Other viral diseases complicating pregnancy +U07.1 COVID-19+ Any associated manifestationsReason unrelated to COVID-19 but tests positive for COVID-19 during admission/encounterAppropriate code for reason for admission/encounter +O98.5- Other viral diseases complicating pregnancy +U07.1 COVID-19+ Any associated manifestationsCOVID-19 in newbornNewborn tests positive in absence of specific type of transmissionU07.1 COVID-19 +Any associated manifestationsNewborn tests positive w/transmission in utero or during birth processP95.8 Other congenital viral diseases +U07.1 COVID-19Confirmed cases with Manifestations (Confirmed only requires provider documentation of COVID-19.)Presumptive positive=confirmed 04.01.2020-10.01.2020Acute Respiratory ManifestationsU07.1 COVID-19 +Respiratory manifestations as additional codePneumoniaPneumonia case confirmed as due to the 2019 novel coronavirus (COVID-19) U07.1 COVID-19 +J12.89 Other viral pneumonia Acute BronchitisAcute bronchitis confirmed as due to COVID-19 U07.1 COVID-19 +J20.8 Acute bronchitis due to other specified organisms Bronchitis not specified as acute, due to COVID-19 U07.1 COVID-19 +J40 Bronchitis, not specified as acute or chronicLower Respiratory InfectionAssociated with a lower respiratory infection, not otherwise specified (NOS), or an acute respiratory infection, NOSU07.1 COVID-19 +J22 Unspecified acute lower respiratory infection Associated with a respiratory infection, NOS U07.1 COVID-19 +J98.8 Other specified respiratory disorders Condition/reason for EncounterICD-10 CMAcute Respiratory Distress Syndrome (ARDS)ARDS due to COVID-19U07.1 COVID-19 +J80 Acute respiratory distress syndrome Acute Respiratory FailureEffective 10.01.2020U07.1 COVID-19 +J96.0 Acute respiratory failureNon-respiratory Manifestations U07.1 COVID 19Code for manifestations as additional diagnosesConfirmed cases with Manifestations (Confirmed only requires provider documentation of COVID-19). Presumptive positive=confirmed) thru 03.31.20PneumoniaPneumonia case confirmed as due to the 2019 novel coronavirus (COVID-19) J12.89 Other viral pneumonia +B97.29 Other coronavirus as the cause of diseases classified elsewhereAcute BronchitisAcute bronchitis confirmed as due to COVID-19 J20.8 Acute bronchitis due to other specified organisms +B97.29 Other coronavirus as the cause of diseases classified elsewhere Bronchitis not specified as acute, due to COVID-19 J40 Bronchitis, not specified as acute or chronic +B97.29 Other coronavirus as the cause of diseases classified elsewhereLower Respiratory InfectionAssociated with a lower respiratory infection, not otherwise specified (NOS), or an acute respiratory infection, NOSJ22 Unspecified acute lower respiratory infection +B97.29 Other coronavirus as the cause of diseases classified elsewhereAssociated with a respiratory infection, NOS J98.8 Other specified respiratory disorders +B97.29 Other coronavirus as the cause of diseases classified elsewhereAcute Respiratory Distress Syndrome (ARDS)ARDS due to COVID-19J80 Acute respiratory distress syndrome +B97.29 Other coronavirus as the cause of diseases classified elsewhere ................
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