• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Dx V45.01

Create Wiki
S

SonLe

Guest
Messages
4
Best answers
0
Hello,

I have a question, please help:

Ohana denied the claim while MED paid as 1' carrier due to pacemaker go with first DX V45.01. According to Ohana, DX start with V can't be primary.

Is there anyone have the answer please?

thank you,
hpt
 
V codes can be used as primary, but certain V codes are designated as secondary only allowable. V45.1 is a status code, in the past V45.x codes were designated as secondary only allowable and most codebooks still have it designated this way, however the official coding guidelines has now removed this label as secondary only. It is however only a status code and cannot be use with codes form one of the body system chapters. It also does not communicate why the patient is in your office. So it may not be a denial because it is a V code but it just does not communicate necessary information as to the reason for the encounter. Do you have the documentation for the encounter? what other codes did you submit on this claim?
 
Thank you for your reply.

I found that Ohana paid for CPT 93289/Dx V45.01 before, I will call them to request reprocessing.

Patient has DX 425.4, 428.22, 458.1 go with CPT 99213/M25 and claim was paid.

Regards,
HPT
 
You must log in or register to reply here.
Top