COVID-19 (SARS-COV-2)

ICD10 Diagnosis
Dx:	COVID-19 (SARS-COV-2)
ICD10 code:	U07.1
Pre-ICD10 counterpart:	none assigned
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

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  • 2019-01-01
  • 2999-12-31
  • U07.1

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Additional Info

• This is intrinsically a code for a viral pathogen officially called "SARS-COV-2". It causes a disease called "COVID-19", that has multiple manifestations, with more likely to be identified over time.
  • The main manifestation known as of April 2020 is a viral pneumonia which can evolve into ARDS (noncardiogenic pulmonary edema). To code this viral pneumonia, use Pneumonia, viral with the bug being COVID-19 (SARS-COV-2).
  • If as may be the case, there is a viral encephalopathy due to this bug, then you'd code it as Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, viral with the bug being the same.

Cohorting in HSC ICUs

As of 2020-04-01 at HSC all CC patients with an "unknown" contact history (even traumas and emergent OR's) are admitted to MICU first, and once their COVID swab comes back negative they are moved to SICU where they normally would be admitted (tracked in ICUotherService).

To show that a patient like this is in MICU rather than SICU, code Observation for suspected infection NOS with COVID-19 (SARS-COV-2) as one of the later codes, but still code the Primary Admit Diagnosis as the thing that put them in an ICU, ie. the trauma or the emergent OR.

Are we to code the Covid observation code at the Grace and St.Boniface sites, or is this for HSC only? Is this to be put as an admit code, and to be left in once they are no longer suspect? If Observation for suspected infection NOS for any infection (not just COVID) is an important part of the story of why someone was admitted to or remains on your unit, and there is no more specific code for a confirmed infection, then it should be coded. Is that not how you would use that observation code generally? When this answer is clear it might need to be moved to Observation for suspected infection NOS.

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Infection status

• As we do with all infections, we do the best possible to identify the bug. Sometimes we're left without a clear, laboratory identification of the bug and then we use one or another of the "wastebasket codes"
  • For example if the team believes this is likely a virus but doesn't know which one then use Virus, NOS
  • For example if the team doesn't know what kind of bug it is, but believes it is infectious then use Infectious organism, unknown

Lab results in Occulys

There are rumors that work is under way to get the COVID status into an Occulys report. Has any collector heard anything about this? Do you have access to Occulys? Getting access to this would be useful since collectors are not accessing the ward during the pandemic. Ttenbergen 11:31, 2020 April 16 (CDT) We can confirm we have access to Oculys!!!Mcrawley 09:16, 2020 April 17 (CDT)

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• • I have access to the Oculys system at StB User:SCortilet

Presumed infections

If the team believes that this is COVID-19 (even without clear cut lab confirmation), then use COVID-19 (SARS-COV-2) as the organism - of course anybody seeking to do definitive analysis of all COVID-19 cases will need to obtain and use the data on confirmed cases from Cadham.

Confirmed infections

Done by Cadham Lab

Delayed lab results

• Regarding people who either die or are discharged from hospital with their COVID-19 lab test still pending, follow the usual rules i.e: Lab_and_culture_reports#How_long_to_wait_for_a_result or Attribution of infections
  • Note that this test is done by Cadham Lab and not by the usual DSM lab.

Other info

• Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
• Coronavirus disease 2019 (COVID-19)

Alternate ICD10s to consider coding instead or in addition

Only use this for COVID-19 (SARS-CoV-2) - not other Coronavirus

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

	App	Status
Query check ICD10 Inf Potential Infection must have pathogen or alt	CCMDB.accdb	declined
Check Inf Antibiotic resistance must have pathogen or Infection with implied pathogen	CCMDB.accdb	implemented
Check Inf Infection with implied pathogen must not have a pathogen combined code	CCMDB.accdb	implemented
Query check ICD10 Inf Infection req Pathogen must have one	CCMDB.accdb	implemented
Query Check Inf Pathogens must have Infection requiring pathogen or Potential Infection	CCMDB.accdb	implemented

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Show all ICD10 Subcategories

ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results