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  #1  
Old 05-19-2009, 01:36 PM
vicki1996 vicki1996 is offline
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Default V58.69 Long Term Use of Medication

Hi Everyone:

We are having a little dispute in our office amongst us coders and I was just wondering if anyone out there had any insight.

I have always coded V58.69 for long term use of any medication not covered under the other 5th digit classifications. I am now being challenged on this and being told this code only covers High Risk Medications.

Any thoughts on this? Has this situation risen in your practices? Any suggestions would be greatly appreciated! Thank you very much!

Vicki Colby, CPC
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Old 05-19-2009, 02:05 PM
KimberlyLanier KimberlyLanier is offline
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Default V58.69

I can tell you that we had an Auditor come into our office and she told us to use that code when ever a Doctor has written a prescription for Medication that the patient is currently taken. We code for Pain Mangement and us that code all the time on our Pain Doctor's when ever they rewrite a script.


V58.69 Reads Long-Term (Current) use of other Medications.
Kimberly CPC
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Old 05-19-2009, 02:11 PM
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mitchellde mitchellde is offline
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I agree with Kim just remember it is secondary only, meaning cannot be first-listed on the claim.
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Old 05-20-2009, 05:02 AM
Anna Weaver Anna Weaver is offline
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Default V58.69

I also agree, what we were always told is that if they have to follow up for medication usage, then you can use the V58.69. For example, those who are on thyroid medication, cholesterol medication, triglyceride medication, digoxin, etc. you get the idea, have to have blood tested regularly or visit the Dr regularly for this.
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Old 05-20-2009, 01:24 PM
kumeena kumeena is offline
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Quote:
Originally Posted by vicki1996 View Post
Hi Everyone:

We are having a little dispute in our office amongst us coders and I was just wondering if anyone out there had any insight.

I have always coded V58.69 for long term use of any medication not covered under the other 5th digit classifications. I am now being challenged on this and being told this code only covers High Risk Medications.

Any thoughts on this? Has this situation risen in your practices? Any suggestions would be greatly appreciated! Thank you very much!

Vicki Colby, CPC
I agree with you.For regular Prescription refill will be V68.1
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Old 05-20-2009, 01:39 PM
pamtienter pamtienter is offline
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I haven't heard that it would be used any time a prescription is refilled, as Kimberly was told by an auditor. It would be used for patients on high risk meds not reported by V58.61-V58.67. Those would be meds like cholesterol lowering agents that could have effects on the liver so frequent lab testing must be done to monitor that.
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Old 08-10-2011, 10:05 AM
traci.susong@gmail.com traci.susong@gmail.com is offline
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Default V58.69

Would this be appropriate to use for patients who are on chemo and get their blood levels checked regularly?
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Old 08-10-2011, 01:31 PM
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We use this code V 58.69 as primary for DEXA scans per CMS
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Old 10-13-2011, 08:21 AM
suemt suemt is offline
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I've used this code for reporting tests/studies for patients using drugs long term, such as Adderall.
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Old 02-08-2012, 03:58 PM
smcclure smcclure is offline
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Has anyone used Med V58.69 as a primary code for example, ADD or ADHD or Depression and then the correct dx code as secondary?

Thanks,

Sandy
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