Results 1 to 5 of 5

V51.0 vs 174.9

  1. Default V51.0 vs 174.9
    Exam Training Packages
    I am hoping I can get some input from seasoned Plastics coders. I have a question about the use of V51.0 as a diagnosis code. If the patient had previous bilateral mastectomies for a breast cancer and then comes to have 2nd stage reconstruction done, would V51.0 be appropriate or should I be coding 174.9 even though the patient has no active breast cancer. Any help would be greatly appreciated. Thanks!

    Christine M. Schmitz, CPC

  2. #2
    Albany, New York
    I would use V45.71 as primary and V10.3 as secondary.
    Karen Maloney, CPC
    Data Quality Specialist

  3. Default
    We also use V45.71 and V10.3, unless they are still taking medication for the cancer then you can bill with a cancer code, rather than history of.

  4. #4
    Chicopee, MA
    I have struggled with this question! I coded 2 stage 2 brst recon surgeries w/ v10.3 as my primary diagnosis and both were denied by 2 different carriers. It opened a huge can of worms and created a lot more work than I had anticipated. I did not use v45.71 however.

  5. #5
    Albany, New York
    The problem is that a "History of" dx code is never an acceptable principal dx code. In this case, V45.71 (Acquired Absence of Breast) is.

    To respond to the comment above regarding breast cancer being coded if the patient is taking medication.....If a patient is taking Tamoxifen (or some other adjuvant therapy drug), they are taking the medication to prevent a recurrence. It doesn't mean that they still have the cancer.
    Karen Maloney, CPC
    Data Quality Specialist

Similar Threads

  1. Breast Cancer DX 174.0
    By dtricia in forum Hematology/Oncology
    Replies: 2
    Last Post: 04-16-2014, 09:51 AM
  2. 611.72 or 174.9
    By Kimberley in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 04-22-2009, 04:24 PM
  3. Breast BX: DX Documented 174.9-Path report no cancer
    By Trendale in forum General Surgery
    Replies: 1
    Last Post: 03-20-2009, 03:44 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.