AAPC - Back to school
Results 1 to 10 of 10

Thread: ICD-9 code for baseline EKG

  1. #1

    Default ICD-9 code for baseline EKG

    AAPC: Back to School
    Patient has started on a new medication which requires that a baseline EKG be preformed with additional EKG's preformed for monitoring until patient reaches the maintainence level of the medication. Is there a specific ICD-9 code that can be used with CPT 93000 for monitoring the effects of the medication on the patient?


  2. #2


    what is the medication and diagnosis?

  3. #3


    Diagnosis is 311 depression and medication is a tricyclic antidepressant.

  4. #4


    Man that is a tough one! I'm still looking......

  5. #5

    Default ICD 9 Code for Baseline EKG

    I have this same scenerio all the time. The only thing that I have come across is V72.81. Let me know if that works. Marl

  6. #6
    Join Date
    Apr 2007
    Columbia, MO


    How about V58.83 and V58.69

    Debra A. Mitchell, MSPH, CPC-H

  7. #7


    Quote Originally Posted by mitchellde View Post
    How about V58.83 and V58.69
    I would use V58.69, with a primary should be 311 Depression. I am a Psych coder and this is how I code labs/EKGs for pts on psych meds that require monitoring.

    V58.83 is for "therapeutic level" in the blood- good for Depakote, Lithium etc., but not appropriate for EKGs :O)

  8. #8
    Join Date
    Apr 2007
    Columbia, MO


    V58.83 is not for blood monitoring only it is for any therapeutic drug monitoring. The AHA coding clinics state to use V58.83 for bone densities due to patient on phosamax. I see this as a similar issue.

    Debra A. Mitchell, MSPH, CPC-H

  9. #9


    V58.69 should be good and is covered by most payers.

  10. #10


    Agree with Debra. The definition for V58.83 includes "measurement of a specific function" to assess effectiveness of a drug. V58.83 also instructs coders to use additional code for associated drug use (V58.61-V58.69).

    One example Coding Clinic uses to demonstrate correct coding for these ICD is for a patient on Accutane presenting for blood test to monitor potential adverse affects. See Coding Clinic, 2Q, 2004.

Similar Threads

  1. Replies: 2
    Last Post: 11-05-2015, 06:55 AM
  2. "Baseline" EKG covered by insurance??
    By theaterd in forum E/M
    Replies: 0
    Last Post: 02-18-2014, 07:30 AM
  3. ICD.9 for baseline EKG?
    By Orthocoderpgu in forum Diagnosis Coding
    Replies: 1
    Last Post: 03-17-2010, 05:30 PM
  4. DX for Baseline EKG ??
    By Orthocoderpgu in forum Diagnosis Coding
    Replies: 1
    Last Post: 09-23-2009, 10:14 PM
  5. How to code for Baseline EKG ??
    By Orthocoderpgu in forum E/M
    Replies: 2
    Last Post: 08-06-2009, 12:10 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.