November 2021 Volume LVI Number 6

 
 
 
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Coding Corner

November 2021 Volume LVI Number 6

Reporting COVID-19 tests
 
In 2020, the ADA approved two dental codes for reporting coronavirus testing.
  • D0604 antigen testing for public health related pathogens includ- ing coronavirus Author’s note: An antigen test typically utilizes swabs to take samples from the patient’s nasal cavity. Some antigen tests are performed on blood specimens. An antigen test determines whether the patient is currently infected with SARSCoV-2, also known as the COVID-19 virus.
  • D0605 antibody testing for public health related pathogens includ- ing coronavirus or serology, test to determine whether the patient has been infected by the virus.This type of test is typically used to determine whether a patient has been previously infected. It is not always accurate in determining a current infection, as the patient may have recovered. 
Diagnoses Codes
When reporting either POC testing for COVID-19 or specimen collection for laboratory testing, a valid diagnosis code is required. To report a confirmed case of COVID-19, the primary ICD-10- CM code reported is U07.1 (2019-nCoV acute respiratory disease). Secondary conditions, such as pneumonia, may be reported as secondary diagnoses. CDC guidelines state that U07.1 is to be reported only for confirmed cases of COVID-19. For conditions not yet con- firmed as COVID-19, the symptom(s) will be reported as the reason for test- ing.
 
Examples of appropriate ICD-10-CM codes to report for COVID-19 testing include, but are not limited to:
  • R05 Cough
  • R06.02 Shortness of breath
  • R50.9 Fever, unspecified
Resources for More Information
For updated information on COVID-19 and how it may affect your practice, we recommend the following resources:
www.ADA.org
https://www.cdc.gov/coronavirus/2019-nCoV/hcp/index.html
 
For more information, contact Dental Benefits Director Mary Essling at (312) 337-2169 or messling@aapd.org.
 

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