Post COVID-19 condition: Difference between revisions

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{{ICD10 dx

| ICD10 Code=U07.4

|ICD10 Code=U07.4

|StartDate=2021-01-22

}}

== Additional Info ==

*~~This code~~ is used for complications or sequelae of [[COVID-19 (SARS-COV-2)]] that may have been caused by the acute infection, but manifest or continue after the active infection is gone.

*Example: To code "COVID-19–related multisystem inflammatory syndrome" link ~~{{PAGENAME}}~~ to [[Disorder of the immune system, NOS]]. If we see many more of these in the future, we will consider adopting the specific code for it U07.3

*Example: To code pulmonary fibrosis post-COVID19, combine ~~this code~~ with [[Interstitial lung disease, NOS]]

=== Coding instructions ===

*~~https://www.cihi.ca/en/bulletin/icd~~-~~10-ca-coding-direction-for~~-post-~~covid~~-19-condition-~~and~~-~~personal~~-~~history~~-~~of-covid-19~~

*[[Post COVID-19 condition]] is used for complications or sequelae of [[COVID-19 (SARS-COV-2)]] that may have been caused by the acute infection, but manifest or continue after the active infection is gone.

**Example: To code "COVID-19–related multisystem inflammatory syndrome" link [[Post COVID-19 condition]] to [[Disorder of the immune system, NOS]]. If we see many more of these in the future, we will consider adopting the specific code for it U07.3

**Example: To code pulmonary fibrosis post-COVID19, combine [[Post COVID-19 condition]] with [[Interstitial lung disease, NOS]]

* Some physicians are (confusingly) writing things like "post-COVID pneumonia" or "post-COVID pneumonitis" to indicate ongoing, noninfectious pulmonary sequelae after the ''active'' COVID infection itself is gone. If indeed it is believed that the COVID infection has run its course and there is no ongoing active COVID infection, here's how to code such ongoing post-COVID problems:

**Code [[Post COVID-19 condition]] + one of more of the following, as appropriate:

***[[Lung, diagnostic imaging, abnormal]]

***[[Disorder of lung, NOS]]

***[[Interstitial lung disease, NOS]]

***[[ARDS (noncardiogenic pulmonary edema)]]

***[[Bronchiolitis obliterans organizing pneumonia (BOOP, cryptogenic organizing pneumonia (COP))]]

***[[Hypoxemia (hypoxia)|Hypoxemia]]

*** use your best clinical judgement to determine between the following

****[[Respiratory failure (insufficiency) NOS, acute]]

****[[Respiratory failure (insufficiency), chronic]]

== Alternate ICD10s to consider coding instead or in addition ==

== Candidate [[Combined ICD10 codes]] ==

@@ Line 1: / Line 1: @@
 {{ICD10 dx
-| ICD10 Code=U07.4
+|ICD10 Code=U07.4
+|StartDate=2021-01-22
 }}
-{{ICD10 category|Misc}}
+{{ICD10 category|Misc}}{{ICD10 category|COVID}}
 == Additional Info ==
-*This code is used for complications or sequelae of [[COVID-19 (SARS-COV-2)]] that may have been caused by the acute infection, but manifest or continue after the active infection is gone.
+{{ICD10 Guideline COVID linker}}
-*Example:  To code "COVID-19–related multisystem inflammatory syndrome" link {{PAGENAME}} to [[Disorder of the immune system, NOS]]. If we see many more of these in the future, we will consider adopting the specific code for it U07.3
-*Example: To code pulmonary fibrosis post-COVID19, combine this code with [[Interstitial lung disease, NOS]]
+=== Coding instructions ===
-*https://www.cihi.ca/en/bulletin/icd-10-ca-coding-direction-for-post-covid-19-condition-and-personal-history-of-covid-19
+*[[Post COVID-19 condition]] is used for complications or sequelae of [[COVID-19 (SARS-COV-2)]] that may have been caused by the acute infection, but manifest or continue after the active infection is gone.
+**Example:  To code "COVID-19–related multisystem inflammatory syndrome" link [[Post COVID-19 condition]] to [[Disorder of the immune system, NOS]]. If we see many more of these in the future, we will consider adopting the specific code for it U07.3
+**Example: To code pulmonary fibrosis post-COVID19, combine [[Post COVID-19 condition]] with [[Interstitial lung disease, NOS]]
+* Some physicians are (confusingly) writing things like "post-COVID pneumonia" or "post-COVID pneumonitis" to indicate ongoing, noninfectious pulmonary sequelae after the ''active'' COVID infection itself is gone.  If indeed it is believed that the COVID infection has run its course and there is no ongoing active COVID infection, here's how to code such ongoing post-COVID problems:
+**Code [[Post COVID-19 condition]] + one of more of the following, as appropriate:
+***[[Lung, diagnostic imaging, abnormal]]
+***[[Disorder of lung, NOS]]
+***[[Interstitial lung disease, NOS]]
+***[[ARDS (noncardiogenic pulmonary edema)]]
+***[[Bronchiolitis obliterans organizing pneumonia (BOOP, cryptogenic organizing pneumonia (COP))]]
+***[[Hypoxemia (hypoxia)|Hypoxemia]] <!-- confirmed against [[Template:ICD10 Guideline Signs Symptoms Test Results not needed when cause known]] so no need to comment on that -->
+*** use your best clinical judgement to determine between the following
+****[[Respiratory failure (insufficiency) NOS, acute]]
+****[[Respiratory failure (insufficiency), chronic]]
 == Alternate ICD10s to consider coding instead or in addition ==
+{{ListICD10Category | categoryName = COVID }}
 == Candidate [[Combined ICD10 codes]] ==