U07.1
U07.1: COVID-19
Billable / specific codeICD-10-CM
U07.1 is a billable, specific ICD-10-CM code for covid-19. It is valid for submission on a claim.
Check U07.1 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Use additional code
Add a secondary code to capture the detail described below.
Other codes that can never be billed with U07.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
- B34.2Coronavirus infection, unspecified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
U07.1 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52466Nebulizers - Policy Article
- A58575Billing and Coding: Respiratory Pathogen Panel Testing
- A58577Billing and Coding: Respiratory Pathogen Panel Testing
- A58710Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
Alphabetic index entries that lead here
- COVID-19
- Coronavirus›2019
- Coronavirus›coronavirus-19
- Coronavirus›COVID-19
- Disease, diseased›COVID-19
- Infection, infected, infective›coronavirus-2019
- Infection, infected, infective›COVID-19
- Infection, infected, infective›virus, viral NOS›COVID-19
- Syndrome›severe acute respiratory›coronavirus 2
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.