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Thread: V58.69 Long Term Use of Medication

  1. #1

    Default V58.69 Long Term Use of Medication

    Hi Everyone:

    We are having a little dispute in our office amongst us coders and I was just wondering if anyone out there had any insight.

    I have always coded V58.69 for long term use of any medication not covered under the other 5th digit classifications. I am now being challenged on this and being told this code only covers High Risk Medications.

    Any thoughts on this? Has this situation risen in your practices? Any suggestions would be greatly appreciated! Thank you very much!

    Vicki Colby, CPC

  2. #2

    Default V58.69

    I can tell you that we had an Auditor come into our office and she told us to use that code when ever a Doctor has written a prescription for Medication that the patient is currently taken. We code for Pain Mangement and us that code all the time on our Pain Doctor's when ever they rewrite a script.


    V58.69 Reads Long-Term (Current) use of other Medications.
    Kimberly CPC

  3. #3
    Join Date
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    Columbia, MO
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    Default

    I agree with Kim just remember it is secondary only, meaning cannot be first-listed on the claim.

  4. #4
    Join Date
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    Kokomo, IN
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    Default V58.69

    I also agree, what we were always told is that if they have to follow up for medication usage, then you can use the V58.69. For example, those who are on thyroid medication, cholesterol medication, triglyceride medication, digoxin, etc. you get the idea, have to have blood tested regularly or visit the Dr regularly for this.

  5. #5
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    NYMAC
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    Default

    Quote Originally Posted by vicki1996 View Post
    Hi Everyone:

    We are having a little dispute in our office amongst us coders and I was just wondering if anyone out there had any insight.

    I have always coded V58.69 for long term use of any medication not covered under the other 5th digit classifications. I am now being challenged on this and being told this code only covers High Risk Medications.

    Any thoughts on this? Has this situation risen in your practices? Any suggestions would be greatly appreciated! Thank you very much!

    Vicki Colby, CPC
    I agree with you.For regular Prescription refill will be V68.1

  6. #6
    Join Date
    Apr 2007
    Location
    Minneapolis
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    328

    Default

    I haven't heard that it would be used any time a prescription is refilled, as Kimberly was told by an auditor. It would be used for patients on high risk meds not reported by V58.61-V58.67. Those would be meds like cholesterol lowering agents that could have effects on the liver so frequent lab testing must be done to monitor that.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

  7. #7

    Default V58.69

    Would this be appropriate to use for patients who are on chemo and get their blood levels checked regularly?

  8. #8
    Join Date
    Apr 2007
    Location
    Columbus GA
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    570

    Default

    We use this code V 58.69 as primary for DEXA scans per CMS

  9. #9

    Default

    I've used this code for reporting tests/studies for patients using drugs long term, such as Adderall.

  10. #10

    Red face Billing Specialist

    2017 ICD-10-CM Coding Book
    Has anyone used Med V58.69 as a primary code for example, ADD or ADHD or Depression and then the correct dx code as secondary?

    Thanks,

    Sandy

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