Post COVID-19 condition: Difference between revisions

(5 intermediate revisions by 2 users not shown)

Line 6:

== Additional Info ==

{{~~DA |~~

* As discussed I have added [[Past history of Covid-19 infection]] and [[:Category:COVID~~]]. The collection of these needs to be updated to make sure they all still make sense after these changes. [[User:Ttenbergen|Ttenbergen]] 15:12, 2021 December 30 (CST)~~

}}

*~~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.

=== Coding instructions ===

**Example: To code "COVID-19–related multisystem inflammatory syndrome" link ~~this code,~~ [[~~{{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

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

**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:

Line 20:

Line 19:

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

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

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

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

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

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

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

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

~~(To use Respiratory Insufficiency acute vs Chronic use your best clinical judgement to determine this~~

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

* If there are no sequelae of COVID-19 infection after the infection has run its course, then do NOT use this code.

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

@@ Line 6: / Line 6: @@
 == Additional Info ==
-{{DA |
+{{ICD10 Guideline COVID linker}}
-* As discussed I have added [[Past history of Covid-19 infection]] and [[:Category:COVID]]. The collection of these needs to be updated to make sure they all still make sense after these changes. [[User:Ttenbergen|Ttenbergen]] 15:12, 2021 December 30 (CST)
-}}
-*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.
+=== Coding instructions ===
-**Example:  To code "COVID-19–related multisystem inflammatory syndrome" link this code, [[{{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
+*[[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 pulmonary fibrosis post-COVID19, combine this code with [[Interstitial lung disease, NOS]]
+**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:
@@ Line 20: / Line 19: @@
 ***[[ARDS (noncardiogenic pulmonary edema)]]
 ***[[Bronchiolitis obliterans organizing pneumonia (BOOP, cryptogenic organizing pneumonia (COP))]]
-***[[Respiratory failure (insufficiency) NOS, acute]]
+***[[Hypoxemia (hypoxia)|Hypoxemia]] <!-- confirmed against [[Template:ICD10 Guideline Signs Symptoms Test Results not needed when cause known]] so no need to comment on that -->
-***[[Respiratory failure (insufficiency), chronic]]
+*** use your best clinical judgement to determine between the following
-***[[Hypoxemia (hypoxia)|Hypoxemia]]
+****[[Respiratory failure (insufficiency) NOS, acute]]
-(To use Respiratory Insufficiency acute vs Chronic use your best clinical judgement to determine this
+****[[Respiratory failure (insufficiency), chronic]]
-* If there are no sequelae of COVID-19 infection after the infection has run its course, then do NOT use this code.
 == Alternate ICD10s to consider coding instead or in addition ==