COVID-19 Billing Codes

From UofL General Peds
Description Codes
Patient presents asymptomatic with concern about possible exposure to COVID-19, curious or a “worried well” Z20.822
Patient presents with signs/symptoms (such as fever, cough, shortness of breath), with actual or suspected exposure to someone who is confirmed to have COVID-19 and a definitive diagnosis of COVID-19 has NOT been established Code first the ICD-10 code for the signs/symptoms such as the cough (R05), shortness of breath (R06.02), fever (R50.9), etc. Code Z20.822 as secondary
Patient presents for follow up COVID test with diagnosis “history of COVID." Results negative or unknown. Z09 (f/u completed treatment) as primary; Z86.16 (personal history infectious disease) as secondary.
Pneumonia due to COVID J12.82
Patient presents asymptomatic for routine screening for COVID-19; no known or suspected exposure. Z20.822
Patient is diagnosed with Multi-System Inflammatory Syndrome (MIS-C) M35.81
Patient presents for Antibody testing Z01.84
Patient presents for pre-admission (PAT) testing for COVID screening through the RITC clinic. Code first: Z01.812 Encounter for pre-procedural testing primary. Code Z20.822 as secondary.
DOS AFTER 3-31-2020. Patient diagnosed positive for COVID-19, or COVID test negative but treated as COVID-19. Code U07.1 as primary. Code associated medical conditions as secondary.
Presumed COVID. Do NOT code as confirmed-must have a positive result. Consider getting test.