DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

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.

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

  • coronavirus as the cause of diseases classified elsewhere (B97.2-) B97.2
  • pneumonia due to SARS-associated coronavirus (J12.81) J12.81

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, diseasedCOVID-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 NOSCOVID-19 → U07.1
  • Syndromesevere acute respiratory (SARS)coronavirus 2 → U07.1

NCHS Alphabetic Index. Index first, then the Tabular List.

Medicare grouping and edits

CMS files for U07.1
CC / MCCMCC
PDX exclusion list1978 (1 code)
Appendix BMDC 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–
POAReported
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.

Hierarchy