Aftercare involving the use of plastic surgery (V51)
ICD-9 code V51 for Aftercare involving the use of plastic surgery is a medical classification as listed by WHO under the range -PERSONS ENCOUNTERING HEALTH SERVICES FOR SPECIFIC PROCEDURES AND AFTERCARE (V50-V59).
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The correct code first listed is V51.0 Encounter for breast reconstruction following mastectomy. You would use the V10.3 if the patient has completed all therapy and there is no evidence of disease, ... [ Read More ]
[QUOTE="kmason1429, post: 330633, member: 278219"]They denied it stating that since we did not receive pre-certification prior to the surgery that our contract states they do not have to pay anything.... [ Read More ]
Thank you for the reply.
Diagnostic coding guideline for outpatient services states that "Certain aftercare codes require secondary dx". Kindly see reference below. Would like to have some clarificat... [ Read More ]
[QUOTE="ohinslh, post: 268077, member: 13329"]We get this paid with the code 612.0 (deformity of reconstructed breast) and history code V10.3[/QUOTE]
612.0 is not used for a reconstruction following m... [ Read More ]
if the reason for the procedure is to reconstruct the breast due to mastectomy due to breast cancer then you need to use the V51.- code first listed with the V10.3 secondary. To have a reconstruction... [ Read More ]
My claims to Tricare for 11921 which have been paid for in the past using diagnosis of V10.3 or V51.0 are no longer being paid with either of those diagnoses. Has anyone out there had a Tricare claim ... [ Read More ]
Hi all! I posted this question before but did not get an answer and I really need help!!!
Can someone look at this note and give me feedback on what codes to use? I originally was going to use 19370-5... [ Read More ]
Hi all! I posted this question before but did not get an answer and I really need help!!!
Can someone look at this note and give me feedback on what codes to use? I originally was going to use 19370-5... [ Read More ]
Nine new HCPCS Level II codes recently released by the Centers for Medicare 38 Medicaid Services CMS and effective in 2019 address spreading contralateral routing technology. Medical coders and biller... [ Read More ]
Coding breast reconstruction can be difficult but knowing procedures and diagnoses helps. By Victoria M. Moll CPC CPMA CPRC Breast cancer is responsible for the death of one in every 36 women in the U... [ Read More ]
With so many devices to choose from knowing whats out there is key to proper reimbursement. By Marita CableCamilleis CPC 160 You would think that someone who has a vested interest in audiology would b... [ Read More ]