Is U07.1 a billable ICD-10-CM code?

Yes. U07.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does U07.1 sit in the tabular list?

Codes for special purposes (U00-U85), in the block Provisional assignment of new diseases of uncertain etiology or emergency use (U00-U49).

U07.1

U07.1 — COVID-19

Billable / specific codeICD-10-CM

U07.1 is a billable, specific ICD-10-CM code for covid-19. It is valid for submission on a claim.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

coronavirus as the cause of diseases classified elsewhere (B97.2-)
pneumonia due to SARS-associated coronavirus (J12.81)

Use additional code

Add a secondary code to capture the detail described below.

code to identify pneumonia or other manifestations, such as:
pneumonia due to COVID-19 (J12.82)
code, if applicable, for associated conditions such as:
COVID-19 associated coagulopathy (D68.8)
disseminated intravascular coagulation (D65)
hypercoagulable states (D68.69)
thrombophilia (D68.69)

Other codes that can never be billed with U07.1

These codes carry an Excludes1 note pointing at U07.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading U07.1 alone.

B34.2Coronavirus infection, unspecified

Risk adjustment

U07.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

U07.1 is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52466Nebulizers - Policy Article
A52466Nebulizers - Policy Article
A52466Nebulizers - Policy Article
A58575Billing and Coding: Respiratory Pathogen Panel Testing

How U07.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to U07.1.

COVID-19
Coronavirus›2019
Coronavirus›coronavirus-19
Coronavirus›COVID-19
Disease, diseased›COVID-19
Infection, infected, infective›coronavirus-2019
Infection, infected, infective›COVID-19
Infection, infected, infective›virus, viral NOS›COVID-19
Syndrome›severe acute respiratory›coronavirus 2

Related codes at this level

Codes that share U07. If U07.1 is not quite right, the correct code is usually one of these.

U07.0Vaping-related disorder

Questions about U07.1

Is U07.1 a billable ICD-10-CM code?: Yes. U07.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does U07.1 sit in the tabular list?: Codes for special purposes (U00-U85), in the block Provisional assignment of new diseases of uncertain etiology or emergency use (U00-U49).