Differences in diagnostic coding in long COVID: sociodemographic and symptom interference factors.

Publication date: Jul 07, 2026

We aimed to test associations of participant-reported Long COVID symptom interference with life activities with Long COVID symptoms, presence of U09. 9 Long COVID diagnosis code, demographics, and clinical factors. In a subgroup, we documented coding related to Long COVID and post-exertional malaise in the electronic medical record (EMR). Using a cross-sectional analysis (n = 205) of participant data from a Long COVID survey, we tested associations with Chi-square, Fisher’s exact, or Fisher-Freeman-Halton exact statistical tests and Independent Samples T-tests. Participants were predominately female (67%) with a mean age of 50. 9 years. Participants were White (50. 0%), African American (47. 5%), and Asian (2. 5%); 1. 5% reported Hispanic ethnicity. 41% of participants reported high Long COVID symptom interference with life activities. Participants who were older (p=. 028), were female (p=. 002), were obese (p=. 049), had worse general health (p

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Concepts Keywords
Covid Medical records
Hispanic Post-acute COVID-19 syndrome
Sociodemographic Post-exertional malaise
White Symptom burden

Semantics

Type Source Name
disease MESH long COVID
disease MESH Infectious Diseases
disease MESH Dis
pathway REACTOME Reproduction
disease MESH included
disease MESH Park

Original Article

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