Risk for Severe Illness of COVID 19

People who are at higher risk for severe illness: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-at-higher-risk.html

Risk Factors

1. People aged 65 years and older
2. People who live in a nursing home or long-term care facility
3. Medical Conditions

People of all ages with underlying medical conditions, particularly if not well controlled, including:

Conditions	ICD-10 code	CPT	Comments
Chronic lung disease or moderate to severe asthma	J40-J99		include only lower respiratory diseases; moderate to severe is hard to define
Obesity	E66		note: it should be severe obesity (body mass index [BMI] of 40 or higher), need to combine with BMI
Diabetes	E08-E13
Chronic kidney disease undergoing dialysis	N18.5, N18.6, Z99.2	90935- 90999	include only dialysis
Liver disease	K70-K77
Pregnancy illness	O00-O29		Normal pregnancy is not included in ICD
Cancer	C00-C97;D37-D48
AIDS	B20;Z21
immune deficiencies	D80-D89
Bone marrow transplant		38205; 38206; 38230; 38232; 38207-38215; 38240-38243
Organ transplant	0494T-0496T
Serious heart conditions	I10-I69		Newly added; serious level is hard to define
Smoking	F17. 200;Z87.891		Newly added
Prolonged use of corticosteroids and other immune weakening medications	NA	NA	Medication administration to be defined
Other immune weakening medications	NA	NA	Medication administration to be defined

Code Sources

• ICD: source: https://apps.who.int/classifications/apps/icd/icd10online2005/fr-icd.htm
• Bone marrow transplant: https://higherlogicdownload.s3.amazonaws.com/ASBMT/43a1f41f-55cb-4c97-9e78-c03e867db505/UploadedImages/BMT_Coding_Article_Final.pdf
• Organ transplantation: https://coder.aapc.com/cpt-codes-range/61644
• Dialysis: https://www.molinahealthcare.com/providers/wa/medicaid/comm/PDF/How-to-code-a-patient-on-Dialysis.pdf
• AIDS: https://www.outsourcestrategies.com/blog/coding-for-hiv-and-aids-in-icd-10-important-clarifications.html