Wiki Coumadin Therapy Correct coding sequence

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NAKARAK2

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When coding coumadin therapy do I use the initial diagnosis as primary such as atrial fibrillation and the therapy code V58.61 as secondary? Or do I just use the V58.61 for the coumadin therapy?
 
I always use the 427.31 as the primary (only if it is documented) and the V code as secondary. Have you been having problems getting the V code paid as primary? I have many accounts that do not have the a fib code and the V code has to go as the primary and I do not recall having any problems getting it paid that way either.
 
V58.6x codes are secondary only since 2003. The Coding Clinics state the correct way to code for a coumadin encounter is to use the V58.83 (encounter for therapeutic drug monitoring) first then the V58.6x, then the code for say Afib as third if you have it.
 
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