- August 23, 2021
- Posted by: medconverge
- Categories: Job Opportunities, Medical Billing, Medical Coding
In short, ICD and CPT codes are crucial to document a patient’s diagnosis correctly. Furthermore, these codes have become incredibly essential for COVID-19 coding and billing during the current SARS-CoV-2 pandemic.
ICD Codes for COVID-19
During the outbreak of the coronavirus, WHO activated emergency ICD codes for COVID-19 cases. WHO, firstly, activated two codes in February 2020: the confirmed diagnosis of COVID-19 and the suspected/probable diagnosis of COVID-19.
Eventually, by April 2020, the international guidelines for classifying COVID-19 as the cause of death were published in seven languages.
Later, September 2020 gave rise to additional codes upon the request of the member states. These included:
- A personal history of COVID-19: U08
- A personal history of COVID-19 (unspecified): U08.9
- A post-COVID-19 condition: U09
- A post-COVID-19 condition (unspecified): U09.9
- Multisystem inflammatory syndrome associated with COVID-19: U10
- Multisystem inflammatory syndrome associated with COVID-19 (unspecified): U10.9
Joining that list in January 2021 were the codes for the following:
- Need for immunization against COVID-19: U11
- Need for immunization against COVID-19 (unspecified): U11.9
- COVID-19 vaccines causing adverse effects in therapeutic use: U12
- COVID-19 vaccines causing adverse effects in therapeutic use (unspecified): U12.9
Additionally, the table given below includes the ICD codes for ICD-10 and ICD-11.
| Category | ICD-10 | ICD-11 | |
| Diagnosis | COVID-19, Virus identified COVID-19, Virus not identified | U07.1 U07.2 | RA01.0 RA01.1 |
| Post COVID-19 | Multisystem Inflammatory Syndrome associated with COVID-19 Personal history of COVID-19 Post COVID-19 condition | U10 U08 U09 + Specific condition | RA03 QC42.0 RA02 + Specific condition |
| Prevention | Need for immunization against COVID-19 Adverse reaction to a COVID-19 vaccine | U11 U12 | QC01.9 Adverse reaction/PL00 + vaccine code |
CPT Codes for COVID-19
Meanwhile, The American Medical Association has approved two CPT codes for the vaccines, Pfizer, Moderna, and Johnson & Johnson. Moreover, here is a table showing the different codes used for the various diagnoses regarding the three vaccines.
| Vaccine | Symptom | CPT Code |
|---|---|---|
| Pfizer | Severe acute respiratory syndrome coronavirus Immunization administration by intramuscular injection of the severe acute respiratory syndrome (First dose) Immunization administration by intramuscular injection of the severe acute respiratory syndrome (Second dose) | 91300 0001A 0002A |
| Moderna | Severe acute respiratory syndrome coronavirus Immunization administration by intramuscular injection of the severe acute respiratory syndrome (First dose) Immunization administration by intramuscular injection of the severe acute respiratory syndrome (Second dose) | 91301 0011A 0012A |
| Johnson & Johnson | Severe acute respiratory syndrome coronavirus Immunization administration by intramuscular injection of the severe acute respiratory syndrome | 91303 0031A |
Accordingly, these ICD and CPT codes help medical coders document and code COVID-19 accurately. It is essential to use correct codes for diagnoses, treatments, and procedures while coding. Therefore, to become an expert in medical coding and billing, it is vital to get adequate training from a reputed organization to master the art of medical coding and billing. For more information call us or e-mail us.