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Wiki General Counseling versus Surveillance

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laura.capetillo

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Saint Paul, MN
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Scenario:
Patient is new to our clinic with an exisiting Rx for Nuva Ring. She also request information on IUD & has s&s of BV.

Pt was given a new Rx for the Nuva Ring, pamphlets on IUD and a wetsmear with negative results for BV.

As far as the diagnosis coding for the Nuva Ring, would you code "initiation or surveillance dx code? V25.0 versus V25.4.

4 were asked in our department, 2 sided with initiation and 2 sided with surveillance.
 
I would go with V25.02 being that it is a more specific code. V25.49 is non specific and if given the choice it is better to stay away from 5th digit 9.
 
I am for V25.4 because: Repeat prescription for contraceptive method provided to her during this visit.The selection of 5th digit is abit challenging- '0' or '9' we cannot say it is unspecified .So my vote goes for '9' .
Against V25.0: because: prescription for other agent was not given; only pamphlets on IUD given, though which is not a definitive treatment
My openion is for V25.49
 
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V25.49 "repeat prescription for contraceptive method" . This is the code i would use for the Nuva ring since you stated that pt is currently on/using this method.
 
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