U07.1 diagnosis code · Billable code · FY2027
U07.1 COVID-19
- Billable
- MCC
- POA reported
U07.1 ICD-10 code: a billable diagnosis code in FY2027, one of 2 billable codes in category U07.
Where it sits
- CC / MCC
- MCC
- MS-DRG
- 177-179, 791, 793, 974-976
- HCC V28
- –
- POA
- Reported
- Code Editor
- –
- Index entries
- 9
Instructions
At U07.1
Excludes2
Use additional code
- code to identify pneumonia or other manifestations, such as:
- pneumonia due to COVID-19 (J12.82) J12.82
- code, if applicable, for associated conditions such as:
- COVID-19 associated coagulopathy (D68.8) D68.8
- disseminated intravascular coagulation (D65) D65
- hypercoagulable states (D68.69) D68.69
- thrombophilia (D68.69) D68.69
Index entries
- COVID-19 → U07.1
- Coronavirus (infection)›2019 → U07.1
- Coronavirus (infection)›coronavirus-19 → U07.1
- Coronavirus (infection)›COVID-19 → U07.1
- Disease, diseased›COVID-19 → U07.1
- Infection, infected, infective (opportunistic)›coronavirus-2019 → U07.1
- Infection, infected, infective (opportunistic)›COVID-19 → U07.1
- Infection, infected, infective (opportunistic)›virus, viral NOS›COVID-19 → U07.1
- Syndrome›severe acute respiratory (SARS)›coronavirus 2 → U07.1
NCHS Alphabetic Index. Index first, then the Tabular List.
Medicare grouping and edits
| CC / MCC | MCC |
|---|---|
| PDX exclusion list | 1978 (1 code) |
| Appendix B | MDC 04 Diseases and Disorders of the Respiratory System, MS-DRG 177-179 (Respiratory Infections and Inflammations with MCC…); MDC 15 Newborns and Other Neonates with Conditions Originating in Perinatal Period, MS-DRG 791 (Prematurity with Major Problems…); MDC 15 Newborns and Other Neonates with Conditions Originating in Perinatal Period, MS-DRG 793 (Full Term Neonate with Major Problems…); MDC 25 Human Immunodeficiency Virus Infections, MS-DRG 974-976 (HIV with Major Related Condition with MCC…) |
| Code Editor | – |
| POA | Reported |
| HCC V28 | – |
MCC as a secondary diagnosis, not when the principal diagnosis is on its PDX exclusion list.
CMS: MS-DRG v44 (Appendix B, C), MCE v44, POA list FY2027, 2027 Initial ICD-10-CM Mappings. What the rows mean.