Hello,
For history of Covid-19, please see the following guidance from coding question #2309 on the SMFM web site. I hope this is helpful!
Thank you,
Trish
Per the issued SMFM White Paper discussing proper ICD-10 coding for presumptive positive or confirmed positive cases, and substantiated by coding guidance from the CDC, only presumptive positive or confirmed positive cases of Covid-19 infection can be reported. However, reporting a history is possible if they're specific complications stemming from the past infection. In the absence of specifics, it is also possible to represent the history with the following ICD-10 code arrangement:
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O99.891 (2) (3): Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium
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Z86.19: Personal history of other infectious or parasitic diseases
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O35.3xxo: Maternal care for (suspected) damage to fetus from viral disease in mother, not applicable or unspecified
SMFM also hosted a recent webinar titled Code Optimally for Covid-19 Services. Please view that for additional guidance. Please see the Webinars link under the Practice Management option on our website.
Sources:
SMFM: https://www.smfm.org/coding/white-papers/142-updated-interim-icd-10-cm-coding-guidance-recommended-coding-for-covid-19-and-pregnancy
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Trisha Malisch, CPC, CCS-P
Lead Coder
SMFM Coding Committee
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Original Message:
Sent: 01-23-2023 15:36
From: Norah Al-Hussaini
Subject: Previous history of COVID-19 in Pregancy
I have a question about covid-19 during pregnancy. For example, a patient contracts covid-19 in her first trimester, but then towards her second-trimester patient is cleared and tested negative. For coding purposes of a personal history of covid-19, is it okay to bill O99.891 with Z86.16? Because it is not current but she now has a history of it.
Thanks,
Norah AL-Hussaini
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Norah Al-Hussaini
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