COVID-19 ICD-10-CM & PCS Updates

For ICD-10-CM, the following new codes should be utilized starting on that date:

ICD-10-CM Code Description

Z28.310 Unvaccinated for COVID-19

Z28.311 Partially vaccinated for COVID-19

Z28.39 Other under immunization status

These three codes will be designated as “Non-CC” codes for IPPS, and would fall under MS-DRG 951, according to the grouper logic. A best practice is to educate your coding staff on these new codes and discuss the implications. Also, have an open dialogue about the situations when these codes would be assigned/used.

For ICD-10-PCS, the following new codes should be utilized starting on April 1, 2022:

PCS Code Description

XW013V7 Introduction of COVID-19 vaccine dose 3 into subcutaneous tissue, percutaneous approach, new technology group 7

XW013W7 Introduction of COVID-19 vaccine booster into subcutaneous tissue, percutaneous approach, new technology group 7

XW023V7 Introduction of COVID-19 vaccine does 3 into muscle, percut7R&aneous approach, new technology group 7