A patient has an hysterosalpingogram with the indication of "Status post Essure procedure. Evaluate for tubal patency." I was told previously to bill V26.21. However, that was denied. The doctor office claims V25.2 with the explanation that it was used on the Essure months before. The Hospital billing was V67.09 with a secondary code of V26.51. My colleagues and I were looking into coding with V25.49. Is there anyone who understands this and has been faced with it before? I am unsure on just which one works best.