Results 1 to 3 of 3

post op x-rays

  1. #1
    Location
    Flint, Michigan
    Posts
    65
    Question post op x-rays
    Medical Coding Books
    I have run into a dilemma coding post-op x-rays so if anyone could help me, I'd greatly appreciate it. My office manager tells me to use 71907 as this has been paid in the past. I know this is wrong! You don't code what's not in the chart notes.

    If the patient isn't having any pain or swelling after surgery (say a bunionectomy) and doctor does an x-ray to check on placement, what would you code? Can I code a fracture code since it's a surgical fracture? Or do I code a bunion (7271)? Or do I use a V code for "aftercare"? Has anyone had any experience with "aftercare" codes? Do they get paid?

    Thanks in advance!

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    Quote Originally Posted by MarciaH View Post
    I have run into a dilemma coding post-op x-rays so if anyone could help me, I'd greatly appreciate it. My office manager tells me to use 71907 as this has been paid in the past. I know this is wrong! You don't code what's not in the chart notes.

    If the patient isn't having any pain or swelling after surgery (say a bunionectomy) and doctor does an x-ray to check on placement, what would you code? Can I code a fracture code since it's a surgical fracture? Or do I code a bunion (7271)? Or do I use a V code for "aftercare"? Has anyone had any experience with "aftercare" codes? Do they get paid?

    Thanks in advance!
    Since you stated the patient isn't having any pain/swelling...x-ray is performed to check placement/alignment, aftercare is often used for these scenarios. The documentation should support an aftercare diagnosis.

    Aftercare
    Aftercare visit codes cover situations when the initial treatment of a disease or injury has been performed and the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the
    disease.

    Follow-up
    The follow-up codes are used to explain continuing surveillance following completed treatment of a disease, condition, or injury. They imply that the condition has been fully treated and no longer exists. They should not be confused with aftercare codes that explain current treatment for a healing condition or its sequelae. Follow-up codes may be used in conjunction with history codes to provide the full picture of the healed condition and its treatment. The follow-up code is sequenced first, followed by the history code. A follow-up code may be used to explain repeated visits. Should a condition be found to have recurred on the follow-up visit, then the diagnosis code should be used in place of the follow-up code.
    The follow-up V code categories:
    V24 Postpartum care and evaluation
    V67 Follow-up examination

    http://www.shopingenix.com/content/u...M_Official.pdf

    Pages 26-27

  3. Default
    I've run into the fact that most insurances do not like v codes as primary dx codes on xrays. I would bill what the patient had surgery for i.e. bunion and the the v code for the aftercare.

Similar Threads

  1. x-rays.....PLEASE HELP!
    By adaniel in forum Orthopaedics
    Replies: 2
    Last Post: 07-07-2014, 01:21 PM
  2. X-rays
    By nyyankees in forum Orthopaedics
    Replies: 8
    Last Post: 10-21-2013, 07:06 AM
  3. X-rays pre and post casting
    By klbecker in forum Orthopaedics
    Replies: 1
    Last Post: 02-08-2011, 01:33 PM
  4. Post procedure chest x-rays...
    By Jamied79 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-07-2010, 10:55 AM
  5. X-rays during post op
    By MAJACOLI in forum E/M
    Replies: 2
    Last Post: 07-02-2008, 12:15 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?

Login

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.