How is "COVID-19-related MIS" added to Problem Lists?

Question:  How is “COVID-19–related multisystem inflammatory syndrome” codified for addition to problem lists, chief complaints, admitting or discharge diagnoses?

Context:  The novel coronavirus SARS-CoV-2 is associated with coronavirus disease syndromes collectively referred to as COVID-19. The International Statistical Classification of Diseases and Related Health Problems Tenth Revision, Canada (ICD-10-CA) has recently added a newly codified COVID-19 health state for “COVID-19–related multisystem inflammatory syndrome.” This is available in Connect Care and is complemented by physician-friendly synonyms. Use of the correct code is important for reporting and clinical decision supports.

Answer:  A previous posting addresses general COVID-19 diagnoses. When seeking the “COVID-19-related multisystem inflammatory syndrome” in pick-lists, enter “COVID” as a search term. A number of matching clinical terms will be displayed for selection, with each appropriately coded. The relevant options for “COVID-19-related multisystem inflammatory syndrome” are:

  • MIS-C associated with COVID-19
  • multisystem inflammatory syndrome associated with 2019 novel coronavirus in pediatric patient
  • MIS-A associated with COVID-19
  • multisystem inflammatory syndrome associated with COVID-19 in adult
  • multisystem inflammatory syndrome associated with 2019-nCoV in pediatric patient
  • multisystem inflammatory syndrome associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in adult
  • multisystem inflammatory syndrome associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in pediatric patient
  • multisystem inflammatory syndrome associated with COVID-19 in pediatric patient

For questions, comments or feedback, contact: clinicalterminologies@ahs.ca.

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