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KMayercsik

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Patient is presenting for scheduled office visit with scope... physician wants patient tested for covid prior to procedure.. we are an OP facility, radiation oncology.. what is the correct icd10 code to support testing.. Z01.818 (facility states to use) or Z11.59. Thanks for all help.
 
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Correct ICD10 is Z01.812 primary, Z20.828 secondary

See question #38 https://www.codingclinicadvisor.com/sites/default/files/Frequently Asked Questions Regarding COVID-19_v12.pdf
Question: How should an encounter for screening for COVID-19 be coded, such as a patient being tested for COVID-19 as part of preoperative testing? Should code Z11.59, Encounter for screening for other viral diseases be assigned? (8/5/2020)Answer: During the COVID-19 pandemic, a screening code is generally not appropriate. For encounters for COVID-19 testing, including preoperative testing, code as exposure to COVID-19 (code Z20.828).For an encounter for COVID-19 testing being performed as part of preoperative testing, assign code Z01.812, Encounter for preprocedural laboratory examination, as the first-listed diagnosis and assign code Z20.828 as an additional diagnosis.Note: This advice is consistent with the updated ICD-10-CM Official Guidelines for Coding and Reportingthat become effective October 1, 2020. During these unprecedented times, AHA and AHIMA concluded it was necessary to clarify the appropriate codes for COVID-19 testing in advance of the effective date for the revised official coding guidelines
 
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is the secondary code necessary? The physicians document doesn’t indicate “suspected, only testing before Laryngoscopy.
 
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KMayercsik said:
is the secondary code necessary? The physicians document doesn’t indicate “suspected, only testing before Laryngoscopy.
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As per the current recommendations from AHIMA and AHA posted above, preop testing for COVID-19 is assigned both Z01.812 and Z20.828. This is not just some random person on the internet giving advice (like me :)). It is the AHA coding advice.
I believe the theory is that during the pandemic, it is not "screening" because basically anyone could have been exposed.
 
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