COVID-19 documentation and coding tips

June 2nd, 2020

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is aimed at HIM, CDI, coding, and revenue cycle professionals who need an overview of early COVID-19 documentation and coding updates. It covers newly released diagnostic testing and diagnosis code sets, documentation practices for confirmed cases, and broader workflow considerations for EHRs, reporting, and billing compliance during the public health emergency.

Why This Topic Matters

COVID-19 coding and documentation guidance changed rapidly during the public health emergency, affecting claims, reporting, and internal workflows. The article helps readers understand the main categories of updates and the operational issues that influence accurate, compliant recordkeeping.

Article Sections

  1. Codes fast tracked

    Summarizes the emergence of new code sets and related guidance for COVID-19 testing and diagnosis. It also notes timing, pricing, and reporting updates tied to federal and payer guidance.

  2. Documentation tips

    Discusses general documentation practices for COVID-19 cases, including clarity in physician language, confirmation of diagnosis in the record, and the role of timely test-result entry. It also addresses the impact of documentation quality on reporting and downstream workflows.

  3. Make it simple

    Focuses on simplifying documentation processes and reducing friction for clinical staff during the pandemic. It highlights the role of EHR design, standard forms, and concise documentation practices.

  4. EHR management

    Covers broader EHR change management during the public health emergency, including coordination across stakeholders, careful workflow design, and sustainable system updates. It emphasizes balancing rapid response with practical implementation.

What You Will Learn

  • Which broad COVID-19 code updates were introduced during the early public health emergency
  • How the article frames documentation quality for COVID-19 diagnoses and testing
  • Why EHR workflow design matters for coding, reporting, and compliance
  • What operational considerations organizations should weigh when making COVID-19-related system changes

Who Should Read This

  • Health information management professionals
  • Clinical documentation integrity specialists
  • Medical coders
  • Revenue cycle professionals
  • Compliance staff
  • Health system EHR and informatics teams

Codes Discussed

  • HCPCS Level II: U0001
  • HCPCS Level II: U0002
  • HCPCS Level II: U0003
  • HCPCS Level II: U0004
  • CPT: 87635
  • ICD-10-CM: U07.1

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