tci ED Coding & Reimbursement Alert - 2020 Issue Q4

Reader Questions: Understand When to Report Signs, Symptoms

Question: We saw a patient for a cough, and the ED physician wanted the patient to get tested for COVID-19. The notes said, “Patient is at high risk due to history of asthma, hypertension, palpitations and obesity.” Which ICD-10 code should we report to reflect the patient’s high-risk nature? The only high-risk diagnosis code I can find in ICD-10 is Z91.89 (Other specified personal risk factors, not elsewhere classified). South Carolina Subscriber Answer: When a patient presents with any signs/symptoms associated with COVID-19 such as fever or cough, assign the appropriate code(s) for each of...

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