Patient has no symptoms, no confirmed (or suspected) exposure to COVID-19 w/ negative or unknown results Patient has symptoms and confirmed (or suspected) exposure to COVID-19 w/ negative or unknown results Z20.822, Contact with and (suspected) exposure to COVID-19 Z20.828, Contact with and (suspected) exposure to other viral communicable diseases Z03.818, Encounter for observation for suspected exposure to other biological agents ruled out Patient has symptoms and suspected exposure to COVID-19 is ruled out Table 1: Coding Guidelines for COVID-19 Testing
#Follow up icd 10 code
Anyone using coded claims data must take into consideration the evolving guidance in code reporting so that the data is interpreted and used correctly. The tables are equally useful for others who use coded data for secondary purposes. The tables are intended to help coding professionals ensure they are applying the applicable guidelines for coding and auditing outpatient services based on the date of service. The tables below illustrate the differences in coding and reporting ICD-10-CM codes for common outpatient COVID-19 scenarios from the start of the pandemic through the release of new codes effective January 1, 2021. The correct application of ICD-10-CM “Z” codes to report encounters for COVID-19 testing were particularly confusing, and coders were left to acquaint themselves-again-when new codes and guidance went into effect on January 1, 2021. Subsequent ICD-10-CM codes and guidelines for reporting COVID-19 changed many times as the pandemic evolved throughout 2020. Instructed him to follow a low-potassium diet and follow up with me in 1 month.When COVID-19 emerged in early 2020, new ICD-10-CM codes to identify this condition were not available. WBC is 16.4, hemoglobin 9.1, and platelets 530.ĭIAGNOSTIC IMPRESSION: Chronic nephritic syndrome with focal and segmental sclerosis LABORATORY DATA: His most recent data completed on August 1, 20XX, showed his sedimentation rate at 50, potassium at 5.3, BUN 75, creatinine 3.8, potassium down to 5.1, and calcium 9.6 with an albumin of 3.2.
PERRLA NECK: No JVD, adenopathy, or goiterĬARDIAC: Regular rate and rhythm without murmurs, rubs, or gallops ABDOMEN: Soft, nontender, no masses He was placed on Vasotec but developed hyperkalemia, and then the Vasotec was stopped.īP: 170/90, Pulse: 88, Respirations: 19 HEENT: Fundi are unremarkable. HISTORY OF THE PRESENT ILLNESS: The patient had a renal biopsy that showed focal and segmental glomerular sclerosis.
This 50-year-old patient was seen today in follow-up for renal insufficiency. IMPRESSION: Diverticulitis with hemorrhage PLAN: We will begin antibiotic therapy with Flagyl. EXTREMITIES: No edema, ulceration, or discoloration pedal pulses are normal. GENITALIA: Normal male RECTAL: Good sphincter tone guaiac testing shows occult blood blood is noted upon visual exam. LUNGS: Clear to auscultation and percussion.ĪBDOMEN: Soft slight tenderness on palpation in lower left quadrant no organomegaly no masses palpable bowel sounds good. HEART: Regular sinus rate and rhythm heart sounds are good. MOUTH: Partially edentulous gums look healthy. PAST MEDICAL HISTORY: Positive for diverticulosis. All other reviews of systems are noted as normal. He has had some coughing, but no other symptoms are noted. He also denies chest pain or shortness of breath. He denies any diarrhea but said there is some constipation. When asked if he knew the results of his sigmoidoscopy, he replied that the doctor had told him he had some diverticula. He says he feels better if he has only liquids, and once he has a bowel movement he feels better. He has noted some nausea and pain when he eats solidįood. He is to schedule an appointment and to return to my office in 4 weeks.ĬHIEF COMPLAINT: Abdominal pain HISTORY: This is a 70-year-old man who had a diagnostic sigmoidoscopy done 3 days ago for rectal bleeding. His diabetes will be managed by diet therapy. He was given information about the need to maintain a well-balanced, nutritious diet. Patient educational information was given and he was referred to the Diabetic Clinic to attend educational classes. Laboratory Findings: For the last 3 weeks, John has had a fasting plasma glucose level that has been over 140 mg/dL on three of three occasions.ĭiscussion with Patient: I discussed with John that he has diabetes mellitus.
#Follow up icd 10 skin
His breath has a fruity odor.Įxtremities: No edema, skin dry and clear HEENT: All exam areas are within normal limits. He complains of extreme thirst and frequent urination. John, a 56-year-old male, presents to the office today to discuss the results of recent laboratory tests.Ĭhief compliant: Over the last 2 months, John has felt lethargic and drowsy after eating large meals.
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