icd 10 code for u071

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Oct 01, 2021 · 2021 - New Code 2022 Billable/Specific Code. U07.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM U07.1 became effective on October 1, 2021. This is the American ICD-10-CM version of U07.1 - other international versions of ICD-10 U07.1 may differ.

Why not use U07.1?

Therefore, you should not use U07.1 to report cases that are “suspect,” “possible,” “probable,” or inconclusive—basically anything but confirmed or presumed positive cases.

Who is Jennifer Godreau?

Jennifer Godreau, CPC, CPMA, CPEDC, COPC, has almost 20 years of experience in billing, coding, compliance, and practice management. She develops the content and programs for Healthcare Training Leader, a practice-specific online training company offering step-by-step advice on increasing reimbursement and avoiding compliance violations. Prior to joining Healthcare Training Leader, Jennifer supervised the program delivery for EMRs, practice management systems and compliance and revenue cycle services for more than 6,000 providers. Thousands of software products - encoders, claims management, auditing, and HIPAA compliance, have been created with her teams and helped thousands of practices more easily reduce revenue losses and comply with complex regulations. Her passion for breaking down healthcare rules and requirements in simple steps has provided practical advice, education, and risk reduction strategies to numerous associations, payers and medical specialties especially in primary care, otolaryngology, eye care, and pediatrics. Jennifer’s advocacy resulted in supervision rule revisions, new CPT codes, and CMS compliance contracts. She oversaw the provider auditing and education for one of the major corporate integrity health system settlements. Jennifer has authored and presented on numerous healthcare compliance and payment challenges. Her education guides include the Certified Otolaryngology Coder (CENTC) exam study guide and the AAPC Professional Medical Coding Curriculum. Jennifer has a Bachelor of Arts from Wittenberg University in Springfield, Ohio. She holds certificates in coding, auditing, pediatric coding, and ophthalmology billing and coding, and is AAPC Vice President of the Naples, FL chapter. Please reach out to Jennifer for step-by-step guidance at [email protected]

When is the ICd 10 code U07.1 effective?

With the confirmation that the ICD-10 code U07.1 is implemented April 1, 2020, additions to the Official Coding and Reporting Guidelines were released to accompany the new code. These Guidelines appear in the Chapter 1 guidelines for Infectious Disease, and Chapter 15 for Pregnancy, Childbirth and the Puerperium, and are included in this article. The Official Coding and Reporting Guidelines are effective April 1, 2020, through September 30, 2020 (CDC/NCHS, 2020).

What is the code for a confirmed diagnosis?

For a confirmed diagnosis, assign code U07.1, COVID-19. This is an exception to the hospital inpatient guideline Section II, H. In this context, “confirmation” does not require documentation of the type of test performed; the provider’s documentation that the individual has COVID-19 is sufficient.

What is the code for observation for suspected exposure to other biological agents?

For cases where there is a concern about possible exposure to COVID-19, but this is ruled out after evaluation, assign code Z03.818, Encounter for observation for suspected exposure to other biological agents ruled out.

Does confirmation require documentation?

In this context, “confirmation” does not require documentation of the type of test performed; the provider’s documentation that the individual has COVID-19 is sufficient. Presumptive positive COVID-19 test results should be coded as confirmed.

What is diagnosis code U07.1?

Acute respiratory distress syndrome (ARDS) due to the COVID-19 virus has been identified by testing or asymptomatic patients who have tested positive for coronavirus.

When should the diagnosis U07.1 be billed?

The diagnosis code, U07.1, should only be billed when a patient has a confirmed diagnosis of coronavirus. This means the patient must have been tested prior and it came back positive for this diagnosis code to be used on the claim.

Additional coding resources

HealthTeam Advantage is always here to assist you if you have questions regarding COVID-19 billing. You can call your HealthTeam Advantage Provider Concierge at 844-806-8217 (option 2).