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My EKGs are sometimes being denied when pt is having an EKG before sugery. Its her pre-op exam....can anyone tell me the correct payable diagnosis for this code? I believe I am using the correct V-code already.
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Wiki EKGs
- Thread starter ssullivan@adirondacktherapy.com
- Start date
Pre-op will not always get your claims paid. Are you only using the V pre-op code for the EKG? Is is various carriers that are denying your claims? What type of surgery is the patient having and why?
armymomryan
Guru
I do a lot of pre-op for cardiology (V72.81) with no denials, check out the
codes under V72 and find appropriate code for type of exam
codes under V72 and find appropriate code for type of exam
jgf-CPC
Guest
I also use the V72.8_ codes and get paid
harmijo
New
So what type of exams would be included in the V72.82 PRE-OP RESPIRATORY EXAM.
hortonwl
New
I know that for Medicare (at least here in CO) they require a secondary dx along with V72.81 stating the operative dx. I believe that V72.81 is always the correct V code to use for EKG's, as they are cardiac exams. For example; if the pt will be having a knee procedure done b/c of osteoarthrosis the pre-op EKG would be coded with V72.81 as primary and 715.16 as secondary. I found this info on trailblazer; I submit all the EKG's for the clinic I work at, and I don't see any denials on them when they are coded this way! I
I hope this helps!
Whitney CPC-A
I hope this helps!
Whitney CPC-A
Last edited:
OCD_coder
True Blue
Ekg
Just a quick FYI - there is an LCD for EKG's on the Medicare website. If you use one of the listed diagnosis from the LCD, you will lessen your denial rate.
It works for us.
Just a quick FYI - there is an LCD for EKG's on the Medicare website. If you use one of the listed diagnosis from the LCD, you will lessen your denial rate.
It works for us.