Karolina
Guru
Hello All:
I need some help clarifying which diagnoses should be coded in order to support the PT and/or PTT testing which is done prior to surgical procedures incl. biopsies. This test would be done prior to the procedure in order to screen the patient for coagulation. Code V72.63 (Pre-procedural laboratory examination) is not on Medicare's list of approved codes (NCDs 190.16 and 190.17). In many cases the patient does not have a prior history of problems with coagulation.
What would be the appropriate diagnosis coding in the following scenario: Patient X is seen for cancer. Dr. A (medical oncologist) sends patient X to Dr. B (surgeon) for a biopsy. Prior to the biopsy several tests are to be performed for surgical clearance, amongst those are the PT and/or PTT.
I need some help clarifying which diagnoses should be coded in order to support the PT and/or PTT testing which is done prior to surgical procedures incl. biopsies. This test would be done prior to the procedure in order to screen the patient for coagulation. Code V72.63 (Pre-procedural laboratory examination) is not on Medicare's list of approved codes (NCDs 190.16 and 190.17). In many cases the patient does not have a prior history of problems with coagulation.
What would be the appropriate diagnosis coding in the following scenario: Patient X is seen for cancer. Dr. A (medical oncologist) sends patient X to Dr. B (surgeon) for a biopsy. Prior to the biopsy several tests are to be performed for surgical clearance, amongst those are the PT and/or PTT.
