Wow 15 whole deaths caused by COVID out of 7700 total for those 4 and under. Gee Joe, why is no one talking about it? Maybe because it’s not a fuc*** problem and you’re pushing bs to scare people.
‘.....START’ calling people stupid????
Does he ever stop?
Here's your answer:
The CDC chart you linked is simply citing the Covid-19 deaths by ICD code U07.1, the official code set up for Covid-19:
https://www.icd10monitor.com/icd-10-cm-codes-spark-great-interest
Over the past few months, the folks at ICD10monitor have seen an increase in website searches regarding two specific ICD-10-CM codes: U07.1 (COVID-19) and F32.9 (Major depressive disorder, unspecified).
Some say that this is a sign of the times, and that may be absolutely true, considering what has gone on in the past four months in healthcare, across our nation and the world. I know I have read a lot about COVID-19, both clinically and regarding the diagnostic and HCPCS/CPT® coding. The diagnosis and topic of depression has also had seen an uptick in interest during our current public health emergency (PHE) timeframe. So let us take a closer look at both of these codes.
We all are very aware that as of April 1, a new code was initiated to capture and report the coronavirus, or COVID-19: code U07.1 2019, Novel Coronavirus (COVID-19). The Centers for Medicare & Medicaid Services (CMS) released a MLN Matters edition on April 1, which also announced the new code.
But it is NOT Covid-19 directly that is killing children. It is "Kawasaki-like" syndrome, MIS-C.
And, guess what? There is NO ICD code for it.
https://www.icd10monitor.com/no-codes-for-covid-manifestations
Some doctors don’t understand how coders compliantly select codes. This can set up coding-clinical disconnects. Frankly, I don’t always get it myself, and I’m pretty good at this coding thing.
You need to use exact verbiage…except when you don’t. Like no doctor is ever going to say, “hemorrhagic disorder due to extrinsic circulating anticoagulants.” The wording of many of the social determinants of health (SDoH) will not be matched precisely by the provider’s documentation.
Sometimes, Coding Clinic gives guidance on what verbiage is allowed to go to what code, and sometimes coders just use common sense. The indexing of the verbiage of “Kawasaki disease” goes nowhere, but “Kawasaki” is a nonessential modifier for the code titled Mucocutaneous lymph node syndrome, M30.3, and “Kawasaki’s syndrome” does index there. However, a clinical documentation improvement specialist (CDIS) or coder would meet with annoyance and resistance if they asked the provider to clarify, did they mean “Kawasaki’s syndrome” when they documented “Kawasaki disease?”
Why am I bringing this up today? There are multiple manifestations of COVID-19 that make for clever acronyms, but won’t yield an ICD-10-CM code. The pediatric Multisystem Inflammatory Syndrome of Children (MIS-C) is quite serious, and is manifested by different body parts becoming inflamed, including the heart, lungs, kidneys, brain, skin, eyes, and/or gastrointestinal organs. It is described as having Kawasaki disease-like features. There is no indexing for MIS-C. “Kawasaki disease-like features” isn’t going to get you anywhere either.
You would need the provider to specify which organs are inflamed, again, using codable terminology. Is it an unspecified arteritis (because it isn’t a chronic ischemic issue)? Is it a sequela of COVID-19, or an acute manifestation? An infective myocarditis or infective pericarditis implies that the heart is infected by the virus currently, whereas I40.8, Other acute myocarditis, might be more appropriate with B94.8, Sequelae of other specified infectious and parasitic diseases.
In the same vein, Multiple Organ Dysfunction Syndrome (MODS) indexes nowhere. Speaking as a clinician, if I had a patient with MODS from an infection, I would call that sepsis. I recommend that you educate your providers to diagnose “sepsis from COVID-19 with acute sepsis-related organ dysfunction, as evidenced by (and here they should list the specific organ dysfunctions).”
How about “COVID toes,” described as red or purple discoloration of the toes with paresthesia? Dermatologists liken it to chilblains or pernio, which is a reaction to cold exposure. They may also describe it as a vasculitis. It may be optimal for the provider to expound upon “COVID toes,” because there is no specific code for it, and the medical community is trying to maintain a registry. Perhaps “COVID toes (i.e., pernio)” would work.
Be on the lookout for new acronyms and abbreviations that may crop up as COVID-19 medicine evolves. If the provider documents a diagnosis for which there is no indexing or advice to assign a code, you may need to educate and query. We can’t monitor what we can’t measure, and we need accurate codes to measure the manifestations of COVID-19.
In other words, they aren't in your chart, because there's no place for them in the chart.
