Diagnosis Based Upon Presenting Problem

lhohler

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7
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Cincinnati Ohio
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I work for several large ED sites. If a patient presents to the ED with a "feared condition" such as a foreign object in nose but upon exam the ED physician finds nothing wrong with the patient; can you code by the presenting problem (i.e. foreign object in nose) or do you have to use a V code which most Payers will not cover.

Thanks.
 

kevbshields

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1,101
Location
Louisville, KY
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In the event you have no reported signs/symptoms, assign V71.4 (or something similar and to your liking). If the provider did document symptoms, I'd report those first, followed by V65.5.

Good luck.
 

ashack63

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"feared" or "suspected condition"

I also work for ED and many times we get children with suspected FB, or suspected injestion, when there are no signs or symptoms for DX, I use V71.9 I usually do not have a problem with reimbursement
Anne
 
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