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Coronavirus Disease 2019 A057

Last amended 
2 July 2020
Current RMA Instruments
SOP bulletin information on new SOPs

SOP Bulletin 215

 ICD Coding
  • ICD-10-AM Codes: B97.29, U07.1
Brief description

Coronavirus disease 2019 is a novel disease first detected in China in late 2019.  It is a highly infectious condition that has gone on to cause a worldwide pandemic in 2020.  It is transmitted by direct or close contact with an infected person or by touching objects or surfaces contaminated with the virus.

The incubation period is typically 2 to 14 days. 

The illness is usually mild and symptoms typically resolve within two to three weeks.  Symptoms include fever, chills, cough, sore throat, headache, muscle pain, fatigue, shortness of breath, pneumonia and new loss of taste and smell.  In older persons and those with underlying health conditions hospitalisation and intensive care with intubation and ventilation may be required.  Death may occur in a small percentage of cases.

Confirming the diagnosis

The diagnosis requires the presence of a clinical illness caused by infection with the SARS-CoV-2 virus.  Presence of the virus is best demonstrated by PCR testing (in a laboratory) at the time the person is symptomatic.  Infection can also be confirmed by serology testing performed during or after the illness.

In most cases the infection is likely to have resolved by the time a claim is made.

The diagnosis can be confirmed by a general practitioner.

The relevant medical specialist is a respiratory or infectious diseases physician. 

Additional diagnoses covered by these SOPs
  • Covid-19
Conditions not covered
  • Asymptomatic infection with SARS-CoV-2
Clinical onset

The clinical onset will be when relevant clinical symptoms first manifest.

Clinical worsening

There are no worsening factors except for inability to obtain appropriate clinical management.  Therapy is mostly supportive, but there are drugs that have been reported to modify (lessen) the duration of disease and the likelihood of death from the disease.