The way that I understand this is that if the patient has a dx already that supports WHY they are getting the blood drawn then this is the code that needs to be used. Like you said, if someone has hypothyroidism already and they are having their TSH done to monitor this condition than it should be used. If they are just wanting yearly labs done like a general health panel just the check things over but have no underlying conditions than the V70.0 is appropriate to use here.
I have been running into the same thing with people that have a "wellness" section to their plan. They think we can just change the dx and all is fine. Just tell them that you don't look good in an orange jump suit! I did a lot of digging on this too, especially for people that are diabetic. I double checked with our billing office and they verified this.
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