AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 1; In this Issue
ICD-10-CM Official Guidelines for Coding and Reporting
Updates to the ICD-10-CM Official Guidelines for Coding and Reporting for COVID-19 are included below. The complete guidelines may be downloaded by visiting the following website: https://www.cdc.gov/nchs/data/icd/ICD-10cmguidelines-FY2021-COVID-update-January-2021-508.pdf g. Coronavirus infections 1) COVID-19 infection (infection due to SARS-CoV-2) (a) Code only confirmed cases Code only a confirmed diagnosis of the 2019 novel coronavirus disease (COVID-19) as documented by the provider or documentation of a positive COVID- 19 test result. For a confirmed diagnosis, assign code U07.1, COVID-19. This is an exception to the hospital inpatient guideline Section II, H. In this context, “confirmation” does not...
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Article Overview
This page presents ICD-10-CM Official Guidelines content with emphasis on COVID-19-related coding and reporting situations. It is intended for coders, clinical documentation staff, compliance teams, and other health information professionals who need to understand the scope of the updated guidance and the categories of circumstances it addresses, including infection status, exposure, screening, symptoms, follow-up, pregnancy, newborn care, and multisystem inflammatory syndrome. The article is useful for identifying where the official guidelines direct readers for different clinical contexts and for understanding which code sets and chapters are involved.
Why This Topic Matters
COVID-19 guidance in ICD-10-CM affects diagnosis coding, sequencing, and reporting across multiple care settings and patient types. Accurate interpretation of the official guidelines helps support consistent data capture and compliant claim coding.
Article Sections
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Coronavirus infections
Introduces the COVID-19 guideline update and the broader coronavirus-infection topic area addressed by the article.
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COVID-19 infection (infection due to SARS-CoV-2)
Covers guidance for confirmed infection, sequencing, respiratory and non-respiratory manifestations, exposure, screening, symptoms without a definitive diagnosis, history, follow-up, antibody testing, and multisystem inflammatory syndrome.
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COVID-19 infection in pregnancy, childbirth, and the puerperium
Addresses coding guidance for COVID-19 in obstetric encounters and how related categories are positioned in the sequence of diagnoses.
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COVID-19 Infection in Newborn
Covers guidance for newborn records involving COVID-19 and related birth-episode coding considerations.
What You Will Learn
- The scope of the COVID-19-related ICD-10-CM guideline update
- Which clinical scenarios the guidance addresses
- How the article organizes infection, exposure, follow-up, and special-population topics
- Which code sets and categories are referenced in the guideline update
- Which official guideline sections are cross-referenced for related circumstances
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement specialists
- Health information management professionals
- Compliance teams
- Revenue cycle staff
- Healthcare providers
Codes Discussed
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