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Post Surgery check

  1. Question Post Surgery check
    Medical Coding Books
    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.

  2. #2
    Location
    Columbia, MO
    Posts
    12,910
    Default
    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?

    Debra A. Mitchell, MSPH, CPC-H

  3. Default 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.

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