![]() ![]() Z11.59, Encounter for screening for other viral diseases (*) Z03.818, Encounter for observation for suspected exposure to other biological agents ruled out (*) Z11.59, Encounter for screening for other viral diseases OR ![]() Patient has no symptoms, no confirmed (or suspected) exposure to COVID-19 w/ negative or unknown results Patient has symptoms and confirmed (or suspected) exposure to COVID-19 w/ negative or unknown results Z20.822, Contact with and (suspected) exposure to COVID-19 Z20.828, Contact with and (suspected) exposure to other viral communicable diseases Z03.818, Encounter for observation for suspected exposure to other biological agents ruled out Patient has symptoms and suspected exposure to COVID-19 is ruled out Table 1: Coding Guidelines for COVID-19 Testing Anyone using coded claims data must take into consideration the evolving guidance in code reporting so that the data is interpreted and used correctly. The tables are equally useful for others who use coded data for secondary purposes. The tables are intended to help coding professionals ensure they are applying the applicable guidelines for coding and auditing outpatient services based on the date of service. The tables below illustrate the differences in coding and reporting ICD-10-CM codes for common outpatient COVID-19 scenarios from the start of the pandemic through the release of new codes effective January 1, 2021. The correct application of ICD-10-CM āZā codes to report encounters for COVID-19 testing were particularly confusing, and coders were left to acquaint themselves-again-when new codes and guidance went into effect on January 1, 2021. Subsequent ICD-10-CM codes and guidelines for reporting COVID-19 changed many times as the pandemic evolved throughout 2020. When COVID-19 emerged in early 2020, new ICD-10-CM codes to identify this condition were not available. ![]() Stanfill, MBI, RHIA, CCS, CCS-P, FAHIMA Pat Maccariella-Hafey, RHIA, CDIP, CCS, CCS-P, CIRCC Christi LeBlanc, MBA, RHIA and Janice Noller, RHIA, CDIP, CCS, CICA ![]()
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