Go Back   AAPC Medical Coding & Billing Forums > Auditing > General Discussion
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 09-06-2009, 10:01 AM
pburke2 pburke2 is offline
New
 
Join Date: Apr 2007
Posts: 1
pburke2 is on a distinguished road
Default Wound Check

Hi,
Pt. comes into the ED for a wound check for an previous I&D of an abscess. What should I code as the principal dx? I have chosen V58.30. This is an unacceptable principal dx. Should the abscess be coded as well?

Thanks,
pb
Reply With Quote
  #2  
Old 09-06-2009, 11:59 AM
mitchellde's Avatar
mitchellde mitchellde is offline
True Blue
 
Join Date: Apr 2007
Location: Columbia, MO
Posts: 8,312
mitchellde will become famous soon enoughmitchellde will become famous soon enough
Default

V58.3x has always been allowable as a first listed dx code. Here is what the guidelines have to say regarding the use of an aftercare code:
Aftercare visit codes cover situations when the initial treatment of a disease or injury has been performed and the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease. The aftercare V code should not be used if treatment is directed at a current, acute disease or injury. The diagnosis code is to be used in these cases.
So if the abcess is still an acute problem requiring continued acute treatment then use the abcess, if the abcess is documented as healing, then use the V58.3x code, however do not use both.
__________________

Debra A. Mitchell, MSPH, CPC-H
Reply With Quote
  #3  
Old 09-18-2009, 12:24 PM
FTessaBartels FTessaBartels is offline
True Blue
 
Join Date: Apr 2007
Location: Milwaukee WI
Posts: 4,436
FTessaBartels will become famous soon enough
Default Global period?

Of course if the I&D was performed by your ED physician and the patient is still in the global period you would only code 99024 (which has no charge).

F Tessa Bartels, CPC, CEMC
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 05:31 PM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC