Results 1 to 10 of 10

Help with aftercare coding

  1. Default Help with aftercare coding
    Medical Coding Books
    I could use some help with understanding the use of aftercare codes. I believe I understand the use of the codes during the global period. After the global period, what do I look for in the documentation to let me know that I should use an aftercare code? Does the note need to say that the pt. is there for followup of fracture or surgery? How long after fracture care or surgery would aftercare apply?

    I would also appreciate information regarding any references that would be helpful in ortho coding.

    Ruth Hood, CPC

  2. Question
    Anyone have anything to offer on this subject? I would greatly appreciate it. Thanks!

  3. #3
    Burlington, Vermont
    Default Aftercare code
    We frequently use v54.01 when hardware is removed even though the date of surgery to remove the hardware is not within global of the initial surgery.
    Of course, this is just one example, but regardless, I try to use an aftercare code for surgeries regardless of global.


  4. Default aftercare codes
    I found the following information in the ICD-9 official guidelines for coding and reporting: Fractures are coded using the aftercare codes (v54.0, V54.2, V54.8 or V54.9) for encounters after the patient has completed active tx of the fx and is receiving routine care for the fx during the healing or recovery phase. Examples of fx aftercare are: cast change or removal, removal of external or internal fixation device, medication adjustment, and follow up visits following fx treatment. Examples of active tx are: surgical tx, emergency dept. encounter, evaluation and tx by a new physician. Hope this helps.

    L.Nagai, CPC

  5. #5
    Default V-Codes
    These codes are used to describe circumstances, other than a disease or injury, that are the reason for an encounter with the health care delivery system or that have an influence on the patient's current condition i.e. aftercare; such as rehab procedures. Depending on how there sequenced they can explain the reason for the encounter...Such as patient presenting for physical therapy status post a TKR...V43.65. If they are sequenced second, they identify a circumstance that affects the patients health status but is not in itself a current illness.


  6. #6
    Madison, Wisconsin
    Default V-Codes
    In your example of the knee replacement, and PT aftercare: Is V43.65 the only code you would use for Medicare and/or non-Medicare?


  7. Default
    V43.65 can only be used as a secondary dx. If the pt is still in his global period, code V54.81 as primary dx, if the global is over, use V67.09 as the primary dx.
    Ann Marie CPC
    Watertown, CT

  8. Default
    v54.89 is that specifically for fractures only or would it be accepted after a global for tka and such?

  9. Default
    V54.89 is for "Other Orthopedic Aftercare", we use it for all of our surgeries(fusions, shoulders, meniscectomies, etc), we use V67.4 for fx, the description is "F/U Tx of healed Fx"
    Ann Marie CPC
    Watertown, CT

  10. #10
    Columbia, MO
    Many years ago I read an article that really helped me, aftercare it stated is for use when some type of management is being directed toward the pateint and they are best paired with V codes stating the type of aftercare rendered such as attention to device or removal of sutures. Follow-up on the otherhand can be viewed as a simple surveilance encounter for the physician to make certain that all is well with the patient.
    I hope this is of assistance for you.

Similar Threads

  1. Aftercare coding
    By venugopal in forum ICD-10
    Replies: 5
    Last Post: 02-13-2014, 08:10 AM
  2. aftercare diagnosis coding
    By venugopal in forum Diagnosis Coding
    Replies: 2
    Last Post: 01-31-2014, 06:37 AM
  3. Coding for Aftercare
    By jennylynh in forum Orthopaedics
    Replies: 12
    Last Post: 06-13-2013, 01:41 PM
  4. Aftercare coding - dislocation
    By primrose1 in forum Orthopaedics
    Replies: 1
    Last Post: 03-27-2012, 07:49 AM
  5. AfterCare Coding
    By dhasten in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 02-02-2010, 04:51 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.