All six new codes will be effective January 1, 2021.
A version of this article was first published December 7, 2020, by HCPro’s Revenue Cycle Advisor, a sibling publication to HealthLeaders.
The Centers for Disease Control and Prevention (CDC) December 3 announced the implementation of six new ICD-10-CM codes to identify conditions related to novel coronavirus (COVID-19).
The new codes are:
- J12.82, pneumonia due to COVID-19
- Pneumonia due to SARS-CoV-2
- M35.81, multisystem inflammatory syndrome
- Multisystem inflammatory syndrome in children
- Pediatric inflammatory multisystem syndrome
- M35.89, other specified systemic involvement of connective tissue
- Z11.52, encounter for screening for COVID-19
- Z20.822, contact with and (suspected) exposure to COVID-19
- Contact with and (suspected) exposure to SARS-CoV-2
- Z86.16, personal history of COVID-19
Per the ICD-10-CM Tabular List of Diseases and Injuries, January 1 Tabular Addenda, when reporting code J12.82 or M35.81, coders must first report code U07.1 for COVID-19, if applicable.
A tabular note under code M35.81 instructs coders to use additional codes to report complications associated with multisystem inflammatory syndrome such as:
- Acute hepatic failure (K72.0-)
- Acute kidney failure (N17.-)
- Acute myocarditis (I40.-)
- Acute respiratory distress syndrome (J80)
- Cardiac arrhythmia (I47-I49.-)
- Pneumonia due to COVID-19 (J12.82)
- Severe sepsis (R65.2-)
- Viral cardiomyopathy (B33.24)
- Viral pericarditis (B33.23)
Coders who report a diagnosis of multisystem inflammatory system using code M35.81 are also instructed to use additional codes, if applicable, to report:
- Exposure to COVID-19 or SARS-CoV-2 infection (Z20.822)
- Personal history of COVID-19 (Z86.16)
- Sequelae of COVID-19 (B94.8)
All six new codes will be effective January 1. Full addenda information regarding the new codes is available here.
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