2023

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  5. 2023 ICD-10-CM Diagnosis Code U07.1

2023 ICD-10-CM Diagnosis Code U07.1

COVID-19

    2021 - New Code 2022 2023 Billable/Specific Code
  • U07.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM U07.1 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of U07.1 - other international versions of ICD-10 U07.1 may differ.
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify pneumonia or other manifestations
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as U07.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • coronavirus infection, unspecified (
    ICD-10-CM Diagnosis Code B34.2

    Coronavirus infection, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Type 1 Excludes
    • COVID-19 (U07.1)
    • pneumonia due to SARS-associated coronavirus (J12.81)
    B34.2
    )
  • coronavirus as the cause of diseases classified elsewhere (
    ICD-10-CM Diagnosis Code B97.2

    Coronavirus as the cause of diseases classified elsewhere

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    B97.2-
    )
  • pneumonia due to SARS-associated coronavirus (
    ICD-10-CM Diagnosis Code J12.81

    Pneumonia due to SARS-associated coronavirus

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Severe acute respiratory syndrome NOS
    J12.81
    )
The following code(s) above U07.1 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to U07.1:
    ICD-10-CM U07.1 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
    • 177 Respiratory infections and inflammations with mcc
    • 178 Respiratory infections and inflammations with cc
    • 179 Respiratory infections and inflammations without cc/mcc
    • 791 Prematurity with major problems
    • 793 Full term neonate with major problems
    • 974 Hiv with major related condition with mcc
    • 975 Hiv with major related condition with cc
    • 976 Hiv with major related condition without cc/mcc
    Code History
    • 2021 (effective 10/1/2020): New code
    • 2022 (effective 10/1/2021): No change
    • 2023 (effective 10/1/2022): No change
    Code annotations containing back-references to U07.1:
    • Code First: M35.81
      , D59.39
      , J12.82
      ICD-10-CM Diagnosis Code M35.81

      Multisystem inflammatory syndrome

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      Applicable To
      • MIS-A
      • MIS-C
      • Multisystem inflammatory syndrome in adults
      • Multisystem inflammatory syndrome in children
      • Pediatric inflammatory multisystem syndrome
      • PIMS
      Code First
      • , if applicable, COVID-19 (U07.1)
      Code Also
      • any associated complications such as:
      • acute hepatic failure (K72.0-)
      • acute kidney failure (N17.-)
      • acute myocarditis (I40.-)
      • acute respiratory distress syndrome (J80)
      • cardiac arrhythmia (I47-I49.-)
      • pneumonia due to COVID-19 (J12.82)
      • severe sepsis (R65.2-)
      • viral cardiomyopathy (B33.24)
      • viral pericarditis (B33.23)
      Use Additional
      • code, if applicable, for:
      • exposure to COVID-19 or SARS-CoV-2 infection (Z20.822)
      • personal history of COVID-19 (Z86.16)
      • post COVID-19 condition (U09.9)
      ICD-10-CM Diagnosis Code D59.39

      Other hemolytic-uremic syndrome

        2023 - New Code Billable/Specific Code
      Applicable To
      • Atypical (nongenetic) hemolytic uremic syndrome
      • Secondary hemolytic-uremic syndrome
      Code First
      • , if applicable, any associated:
      • COVID-19 (U07.1)
      • complications of kidney transplant (T86.1-)
      • complications of heart transplant (T86.2-)
      • complications of liver transplant (T86.4-)
      Code Also
      • , if applicable, any associated condition, such as:
      • hypertensive emergency (I16.1)
      • malignant neoplasm (C00-C96)
      • systemic lupus erythematosus (M32.-)
      Use Additional
      • code, if applicable, for adverse effect to identify drug (T36-T50 with fifth or sixth character 5)
      ICD-10-CM Diagnosis Code J12.82

      Pneumonia due to coronavirus disease 2019

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      Applicable To
      • Pneumonia due to 2019 novel coronavirus (SARS-CoV-2)
      • Pneumonia due to COVID-19
      Code First
    • Type 1 Excludes: B34.2
      ICD-10-CM Diagnosis Code B34.2

      Coronavirus infection, unspecified

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
      Type 1 Excludes
      • COVID-19 (U07.1)
      • pneumonia due to SARS-associated coronavirus (J12.81)

    Diagnosis Index entries containing back-references to U07.1:

    ICD-10-CM Codes Adjacent To U07.1
    Z99.11 …… [ventilator] status
    Z99.12 Encounter for respirator [ventilator] dependence during power failure
    Z99.2 Dependence on renal dialysis
    Z99.3 Dependence on wheelchair
    Z99.8 Dependence on other enabling machines and devices
    Z99.81 Dependence on supplemental oxygen
    Z99.89 Dependence on other enabling machines and devices
    U00 COVID-19
    U07 Emergency use of U07
    U07.0 Vaping-related disorder
    U07.1 COVID-19
    U09 Post COVID-19 condition
    U09.9 Post COVID-19 condition, unspecified
    U49 COVID-19
    U50 COVID-19
    U85 COVID-19

    Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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