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ICD-10 Code Z11.52

Encounter for screening for COVID-19

What is the code Z11.52?

The ICD-10-CM code Z11.52 stands for "encounter for screening for COVID-19." This code is used to indicate that a patient is being screened for the presence of COVID-19, often before symptoms appear or as part of a routine check.

Detailed description of Z11.52

Z11.52 is used to document an encounter specifically for the purpose of screening for COVID-19. This could occur in various settings such as clinics, hospitals, or testing centers. The screening process typically involves testing asymptomatic individuals to identify potential COVID-19 cases early and prevent the spread of the virus.

Symptoms commonly associated with Z11.52

Since Z11.52 is a screening code, it is not directly associated with symptoms. Rather, it is used for patients who do not show symptoms but are being tested for COVID-19 as a precautionary measure or due to exposure risk.

Related and similar ICD-10 codes

  • Z20.822: Contact with and (suspected) exposure to COVID-19
  • U07.1: COVID-19, virus identified
  • Z03.818: Encounter for observation for suspected exposure to other biological agents ruled out

Appropriate usage of Z11.52 for billing

Z11.52 should be used when a provider documents in the assessment portion of the note that a patient is being screened for COVID-19 — and not when the patient has symptoms or is being evaluated for a suspected infection. This code is appropriate for billing routine COVID-19 tests required for travel, work, or other screening purposes.

Instructional guidelines for coding Z11.52

When using Z11.52 for billing and coding:

  • Ensure that the encounter is solely for the purpose of screening for COVID-19.
  • Do not use this code if the patient has symptoms of COVID-19; in such cases, use the appropriate diagnosis code for the symptoms or confirmed infection.
  • For patients exposed to COVID-19 but without symptoms, consider using Z20.822.

Common pitfalls in coding with Z11.52

  • Incorrect usage: Using Z11.52 for patients who have symptoms of COVID-19 or are being tested due to suspected infection rather than routine screening.
  • Misclassification: Confusing screening encounters with exposure encounters; Z11.52 should not be used for patients who have had contact with confirmed COVID-19 cases (use Z20.822 instead).

Key resources for Z11.52 coding

Conclusion

ICD-10-CM code Z11.52 is used for documenting encounters where patients are screened for COVID-19 without showing symptoms. Proper usage of this code helps ensure accurate billing and helps in tracking and managing public health data effectively. Understanding its appropriate application and avoiding common pitfalls can lead to more accurate medical records and better patient care management.

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