The patient returns for a follow-up visit regarding COVID-19; all symptoms have resolved. Codes: Z09, Z86.16 pathway: Follow-up > Follow-up not needed further care > Z09 COVID-19 > History of (personal) > Z86.16 reasoning: For those who have had COVID-19, are returning for a follow up where all symptoms have resolved and COVID 19 results are negative it is recommended from the official coding guideline to use code Z09(Encounter for follow-up examinations after completed treatment for conditions other than malignant neoplasm). It is also recommended to use code Z86.16 (personal history of COVID-19) seeing at the patient has a previous history of covid-19 and is here for a follow-up for symptoms that have resolved. Part 3: One thing that I took away from coding COVID 19 is that it is a bit confusing sometimes to find exactly what is needing. While the case was as straight forward as it could be I still found myself second guessing my findings and adding “what if’s” to the case when it was not needed. So I am grateful for the coding guidelines which helped to wheel me back in to relevant information from the case far away from
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