Results 1 to 5 of 5

dx coding for H. Pylori test, in the absence of symptoms

  1. #1
    Default dx coding for H. Pylori test, in the absence of symptoms
    Medical Coding Books
    A patient is seen by a gastroenterologist. Because the patient is from Asia, where there is a higher prevalence of helicobacter pylori infections and gastric cancer, the physician wants to send the patient for an H. Pylori test. This patient has no symptoms, so what dx should we use when ordering the test? Would we use 041.86 - Helicobacter Pylori Infection, even though we are not sure the patient has this dx? The physician/MA are suggesting we use this code, but I don't think it is appropriate - as this test is being done in an outpatient setting. (And I reallize you can only code for the signs and symptoms in the absence of a definitive dx in an office/outpatient setting, unlike an inpatient setting where the guidelines are less stringent.)

    I cannot seem to find a screening dx that would fit with this scenario. Does anyone have a suggestion? (We also realize that this test may not be covered by the patient's insurance and will make sure he/she is aware of this before proceeding with the test.)
    Last edited by Colliemom; 07-24-2009 at 08:18 AM.

  2. Default
    I wouldn't code 041.86, but I would consider V82.89.

  3. #3
    Default screening
    Since H pylori is a bacteria maybe V74.8?

  4. Default
    That sounds even better!

  5. #5
    Thank you! I called the pt's ins. (BCBS) and I was told that the V74.8 was accepted for use with the H. Pylori test.

    I appreciate the help from both of you!

Similar Threads

  1. H.Pylori Breath test CPT Coding Help!!!
    By Rlynn866 in forum Gastroenterology
    Replies: 1
    Last Post: 10-05-2015, 12:24 PM
  2. H Pylori Breath Test
    By chavera in forum Billing/Reimbursement
    Replies: 2
    Last Post: 11-11-2014, 10:22 AM
  3. GASTRO/CLO TEST for H Pylori
    By angbridget71 in forum Gastroenterology
    Replies: 0
    Last Post: 02-24-2014, 12:31 PM
  4. Coding for H Pylori test kits
    By dballard2004 in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 08-07-2008, 02:59 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.