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Old 12-06-2011, 08:52 AM
sknapp56 sknapp56 is offline
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Default IUD surveillance

We have a patient who had an IUD inserted for control of menorrhagia. When coming in for her IUD checks I have been using the V25.42 IUD surveillance code but insurance is denying as non-covered service. We did get approval for the IUD for the menorrhagia. My question is should I be using the 626.2 primary with the V25.42 secondary or would the code V25.3 Menstrual extraction (description reads menstrual regulation).
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Old 12-06-2011, 09:30 AM
dkaran dkaran is offline
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use 626.2 for your primary. some V codes cannot be used as primary dx.
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Old 12-06-2011, 10:58 AM
missy874 missy874 is offline
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If you are only doing an IUD check then V25.42 is the correct code to use on the followup visit... 626.2 should only be used if that medical condition is addressed at the visit. If you are only checking for placement, strings, etc...then you are stuck with the V25.42 code.
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Old 12-06-2011, 11:14 AM
ajs ajs is offline
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Quote:
Originally Posted by sknapp56 View Post
We have a patient who had an IUD inserted for control of menorrhagia. When coming in for her IUD checks I have been using the V25.42 IUD surveillance code but insurance is denying as non-covered service. We did get approval for the IUD for the menorrhagia. My question is should I be using the 626.2 primary with the V25.42 secondary or would the code V25.3 Menstrual extraction (description reads menstrual regulation).
As long as the provider documents at each of those encounters that the reason for the IUD is menorraghia you may use that for your primary code with the V code secondary.
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