COVID-19 Documentation and Coding Tips: 2021 Update

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For discharges occurring after 4-1-2020 to report COVID-19, use code: U07.1 – COVID-19
• Excludes1 B34.2 – Coronavirus infection, unspecified site

Also document and link the manifestations of the disease (if clinically relevant):
• with Pneumonia: add J12.82 – Pneumonia due to coronavirus disease 2019
• with Bronchitis: add J20.8 – Acute Bronchitis due to other specified organisms
• with ARDS: add J80 – Acute Respiratory Distress Syndrome
• with Sepsis: add A41.89 – Viral Sepsis
• with Septic Shock: add R65.21 – Severe Sepsis with Septic Shock
• with Acute Respiratory Failure: add J96.00 – Acute Respiratory Failure, unspecified
• with Acute Kidney Injury: add N17.9 – Acute Kidney Failure, unspecified
• with Type 2 MI: add I21.A1 – Myocardial Infarction Type 2

For patients discharged prior to testing results, we recommend documenting suspected COVID-19. A query can clarify if testing results after discharge.

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