Cracking the Code

Updated COVID-19 Diagnosis

Effective immediately as of January 1st, 2021, there are new diagnosis codes pertaining to COVID-19!

Z11.52, encounter for screening for COVID-19 (previously used Z11.59; reported for people who are asymptomatic and test negative)

Z20.822, contact with and (suspected) exposure to COVID-19 (previously Z20.828)

Z86.16, personal history of COVID-19 (previously used Z86.19)

J12.82, pneumonia due to coronavirus disease 2019 (previously used J12.89). Includes the inclusion terms, “pneumonia due to COVID-19” and “pneumonia due to severe acute respiratory syndrome coronavirus 2”. Existing coding guidance (prior to 1/1/21) for COVID-19-related pneumonia instructs coders to report two ICD-10-CM codes for the condition: U07.1 (COVID-19) and J12.89 (other viral pneumonia). As of 1/1/21, AHA now recommends that BOTH U07.1 and J12.82 be reported for viral pneumonia due to COVID-19.

M35.81, multisystem inflammatory syndrome (previously used M35.8)

The information is fluid, and we are currently staying abreast. We will be sure to distribute more details once we discover more information.

Reference: AHA Frequently Asked Questions
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