Need some help/suggestions re: denial for patient's re-check post surgery, but outside the global period. If I can't find any indication of signs/symptoms to code (patient doing excellent, no pain, happy with the outcome, feels better than before surgery...) I can't get the visit paid. Any feedback is appreciated.
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Wiki Post Surgery check
- Thread starter bjsliger
- Start date
mitchellde
True Blue
You should use the V code for follow up following surgery. You do not use the pre surgery dx code and you do not need any symptoms. If the payer is denying the claim with the V 67.- code then what does the denial state?
Post surgery check
In this particular case, v54.89 was submitted; denial reason is "pre-/post-operative care payment included in the allowance for the surgery/procedure."
I've tried V67.09 and V45.89 on other occasions with the same result. Thus, my frustration.
In this particular case, v54.89 was submitted; denial reason is "pre-/post-operative care payment included in the allowance for the surgery/procedure."
I've tried V67.09 and V45.89 on other occasions with the same result. Thus, my frustration.