News: CDC announces six new COVID-19-related condition codes

CDI Strategies - Volume 14, Issue 55

The Centers for Disease Control and Prevention (CDC) announced the implementation of six new ICD-10-CM codes to identify conditions related to COVID-19, Revenue Cycle Advisor reported.

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, code U07.1 for COVID-19 must be reported first, if applicable.

A tabular note under code M35.81 instructs for the use of 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)

Reporting a diagnosis of multisystem inflammatory system using code M35.81 should also 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.

Editor’s note: This article originally appeared in Revenue Cycle Advisor. The CDC announcement of the new codes can be found here. ACDIS coverage of new CPT codes relating to COVID-19 can be found here.

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