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2025 ICD-10-CM code Z86.16

Personal history of COVID-19.

Do not use this code if the patient has active symptoms or manifestations of COVID-19. Do not use this code for post-COVID-19 conditions.

This code is used to document a patient's medical history, which can be important for informing future treatment decisions.

IMPORTANT:Before January 1, 2021, use Z86.19 (Personal history of other infectious and parasitic diseases).For active or current COVID-19 infections, use U07.1.For post-COVID-19 conditions, use U09.9. For contact with and suspected exposure to COVID-19, use Z20.822

In simple words: This code indicates that the patient has a history of having COVID-19, but they are no longer experiencing symptoms.

Personal history of COVID-19. This code is used to document a past diagnosis of COVID-19 when the patient no longer has active symptoms or manifestations of the disease.

Example 1: A patient presents for a routine check-up and mentions they had COVID-19 last year, but have fully recovered. Z86.16 is used to document this past infection., A patient is admitted for surgery. During the pre-operative evaluation, it's revealed they had COVID-19 a few months prior. Z86.16 is used to document this as part of their medical history., A patient comes to the clinic specifically to get an antibody test for COVID-19.The test is positive, indicating past infection, but the patient has no current symptoms. Z86.16 would be used in this case.

Documentation of a past COVID-19 diagnosis, either from a positive test result or clinical diagnosis, and confirmation that the patient is no longer experiencing symptoms.

  • Specialties:Any specialty can use this code when appropriate.
  • Place of Service:Any place of service.
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