I am not sure what is correct or not, but for our radiology reports, I try to avoid V codes as much as possible because all the insurances like to deny them. But if I have to use them, I try not to use them as primary. Sometimes you can't avoid it because there is nothing else. I know Medicare especially likes to deny V70.0 , V72.5 and I think it's V71.2.
So personally if I was coding your report I would code the underlying condition first and then the V code second.
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