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Thread: dx ?

  1. #1
    Join Date
    Apr 2007

    Default dx ?

    AAPC: Back to School
    A nephrology group wants to sent pts to us pre dialysis for CXR's, they are not able to have the pt have a TB skin test so they will be sending for CXR's. What would be the most appropriate dx in billing out these CXR's?


    Kimberley Tober, CPC
    Franklin, TN

  2. #2
    Join Date
    Apr 2007
    Rose City Chapter

    Default dx

    I think the best you can do for this is V74.1. If the claims are denied regularly you might try having the provider write up a letter explaining why they cannot do the skin test for these patients.
    You can also use the renal diagnosis for a secondary code. Not sure if that helps or not??

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    I agree this is still a screening exam and will either be covered or not like all screening exams.

  4. #4


    I would assume the pt also has ESRD and that is why they are having dialysis. I would also code that with 585.6-confim DX with Dr ordering test. That would explain why test is done by x-ray and not skin.I would do v74.1 then 585.6 once I confirmed the ESRD dx.
    Last edited by kbarbag; 06-08-2009 at 06:57 PM.

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