Z86.16
Z86.16: Personal history of COVID-19
Billable / specific codeICD-10-CMPOA exempt
Z86.16 is a billable, specific ICD-10-CM code for personal history of covid-19. It is valid for submission on a claim.
Check Z86.16 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- post COVID-19 condition (U09.9)
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
Z86.16 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A57224Billing and Coding: Respiratory Care
Alphabetic index entries that lead here
- COVID-19›history of(personal)
- History›personal›coronavirus 2019(disease) (novel)
- History›personal›COVID-19
- History›personal›SARS-CoV-2 infection
- History›personal›infection NEC›coronavirus 2019(disease) (novel)
- History›personal›infection NEC›COVID-19
- History›personal›infection NEC›SARS-CoV-2
- History›personal›disease or disorder›infectious›coronavirus 2019(disease) (novel)
- History›personal›disease or disorder›infectious›COVID-19
- History›personal›disease or disorder›infectious›SARS-CoV-2
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under Z86.1
- Z86.11Personal history of tuberculosis
- Z86.12Personal history of poliomyelitis
- Z86.13Personal history of malaria
- Z86.14Personal history of Methicillin resistant Staphylococcus aureus infection
- Z86.15Personal history of latent tuberculosis infection
- Z86.17Personal history of Clostridioides difficile infection
- Z86.19Personal history of other infectious and parasitic diseases