April 20, 2023
National Center for Health Statistics and the CDC (Centers for Disease Control and Prevention)
"In cases where a definite diagnosis of COVID-19 cannot be made, but it is suspected or likely (e.g., the circumstances are compelling within a reasonable degree of certainty), it is acceptable to report COVID-19 on a death certificate as "probable" or "presumed". In these instances, certifiers should use their best clinical judgement in determining if a COVID-19 infection was likely.
Ideally, testing for COVID-19 should be conducted, but it is acceptable to report COVID-19 on a death certificate without this confirmation if the circumstances are compelling within a reasonable degree of certainty."
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