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ICD and CPT Codes for COVID-19

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.

CategoryICD-10ICD-11
DiagnosisCOVID-19, Virus identified COVID-19, Virus not identifiedU07.1

U07.2
RA01.0

RA01.1
Post COVID-19Multisystem 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
PreventionNeed for immunization against COVID-19

Adverse reaction to a COVID-19 vaccine
U11

U12
QC01.9

Adverse reaction/PL00 + vaccine code
ICD Codes for COVID-19

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.

VaccineSymptomCPT Code
PfizerSevere 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
ModernaSevere 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 & JohnsonSevere 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.

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