To accommodate the grouping of emergency use diagnosis codes designated by the World Health Organization for confirmed COVID-19 cases, CIHI will be adding 3 more codes to the National Rehabilitation Reporting System (NRS). This bulletin provides direction on the use of the 3 new ICD-10-CA emergency use diagnosis codes.
The NRS will accept the following new codes for assessments dated on or after January 4, 2021:
- U07.3 Multisystem inflammatory syndrome associated with COVID-19
- U07.4 Post COVID-19 condition
- U07.5 Personal history of COVID-19
Note: There is no change to the previous ICD-10-CA coding direction communicated in an earlier bulletin regarding the use of the following:
- U07.1 COVID-19, virus identified
- U07.2 COVID-19, virus not identified
New direction
- Assign U07.3 Multisystem inflammatory syndrome associated with COVID-19 as diagnosis type, depending on the circumstances surrounding the episode of care. This includes cytokine storm, Kawasaki-like syndrome, paediatric inflammatory multisystem syndrome (PIMS) and multisystem inflammatory syndrome in children (MIS-C).
- Assign U07.4 Post COVID-19 condition as a comorbid health condition when the physician/primary care provider has documented an established relationship between a specific condition and past COVID-19. Examples of documentation describing a post COVID-19 condition may include “post COVID-19 viral cough,” “post COVID-19 deconditioning” and “intermittent shortness of breath post COVID-19 infection.” This code is not valid for data element 80, Most Responsible Health Condition ICD-10-CA, as it qualifies as a comorbid health condition.
- Assign U07.5 Personal history of COVID-19 as a comorbid health condition when there is documentation that the patient has a personal history of COVID-19 (confirmed or suspected). This code is not valid for data element 80, Most Responsible Health Condition ICD-10-CA.
If these ICD-10-CA codes are not available through your vendor software, assign ICD-10-CA code U07.1 COVID-19, virus identified or U07.2 COVID-19, virus not identified, as appropriate.
Vendor updates
CIHI has notified vendors that these codes will be accepted in the NRS for individuals admitted on or after January 4, 2021. Please contact your vendor if these codes are not available and you wish to have them added.
Explore CIHI’s COVID-19 resources web page, which provides key reports and resources on the COVID-19 pandemic.