Update October 2016:ZIKA ICD-10 CodeDescriptionA92.5Zika virus disease, Zika virus fever, Zika virus infection, Zika NOS098.5Other viral diseases complicating pregnancy, childbirth and the puerperiumQ02Congenital abnormality. Includes: hydromicrocephaly and micrencephalonOct 13, 2016
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ICD-10 code Z36 for Encounter for antenatal screening of mother is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
For asymptomatic individuals who are being screened for COVID-19 and have no known exposure to the virus, and the test results are either unknown or negative, assign code Z11. 59, Encounter for screening for other viral diseases.
Pregnancy Test: CPT Code 81025 for human chorionic gonadotropin (hCG) urine testing performed in the office should be reported on a claim any time the test is performed.
004416: Human Chorionic Gonadotropin (hCG), β-Subunit, Quantitative | Labcorp.
RE: basic anatomy 76805 Z36. 3 (Encounter for antenatal screening for malformations) is the appropriate ICD-10 to use with 76805.
CPT Code 76811, Detailed Fetal Anatomic Ultrasound.
Feb. 21, 2022: Addition of code 87913 to report severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) mutation identification in targeted region(s).
Encounter for other preprocedural examinationICD-10 code Z01. 818 for Encounter for other preprocedural examination is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique.
Proposed New Code: A92.5 Zika virus disease. The ZIKA virus is a flavivirus that causes flu like symptoms in patients. Spread by infected Aedes mosquitoes, the virus poses a big risk to pregnant women and their unborn babies.
For pregnant women who have contracted the virus, 098 is the ICD-10 code for “all maternal infectious and parasitic diseases classifiable elsewhere but complicating pregnancy, childbirth and the puerperium.”. Included in this code series is 098.5, “other viral diseases complicating pregnancy, childbirth and the puerperium,” with an additional ...
There is a code freeze for any new ICD-10 codes until October 2016 and it is unlikely that the CDC will update the code base for the Zika virus. Thus, while not perfect, the noted ICD-10 codes above are sufficient billable codes. The Practice Fusion EHR has a very intuitive interface to easily find and report on ICD-10 codes.
However, not all ZIKA infections result in elevations of body temperature. Besides fever, common ZIKA virus symptoms to code for include maculopapular rash, arthralgia (joint pain), conjunctivitis (pink eye), myalgia (muscular pain) and headache.
Per the ICD-10-CM Official Guidelines for Coding and Reporting FY 2017, only confirmed cases of the Zika virus should be coded. The physician’s diagnostic statement that the condition is a confirmed case is sufficient. The type of test performed to get to this diagnosis does not have to be documented. If the condition is documented by the physician as a suspected/possible or probable diagnosis, then the coder would report the reason for the encounter (the symptoms such as fever, rash or joint pain) or Z20.828, contact with and (suspected) exposure to other viral communicable diseases and NOT the code for the Zika Virus.
The Zika virus can be spread through mosquito bites, from a pregnant woman to her fetus, from sex, laboratory exposure, and possibly from blood transfusions.
The Zika virus is a mosquito-borne illness. Zika can be passed from a pregnant woman to her fetus and can cause certain birth defects. At this time, there is no vaccine or medicine for the Zika virus.
Many people that are infected with the Zika virus will not have any symptoms or even know they have the virus. Symptoms are usually mild and people rarely get sick enough to seek treatment as the symptoms are similar to other viruses.
CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
For calendar year 2018 CMS has adopted the new 2018 AMA CPT® codes for Zika virus testing. For dates of service 1/1/2018 and forward providers should bill using these new codes. For dates of service prior to 1/1/2018 the previous instructions will still apply.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.