AAPC - Back to school
Results 1 to 6 of 6

Thread: follow up xray

  1. #1
    Join Date
    Apr 2007

    Default follow up xray

    AAPC: Back to School
    For a medicare patient, what is the correct way to report a follow up chest xray. FIrst xray was taken approximately 5 weeks ago and pt in for follow-up. Do you code the underlying codition first and then the V code to report follow-up?

  2. #2
    Join Date
    Apr 2007
    Fort Worth Texas


    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.

  3. #3

    Wink Follow-up x-ray

    I can give you a scenario that may shed a little light on your situation.

    If a patient is sent for a chest x-ray say on November 1, 2009 and the impression is pneumonia and the treating physician says come back in 4 weeks and we will re-examine you and send you for a follow-up x-ray, the rule of thumb is that the patient, while in 4 weeks may clinically be "healed" and no longer have those clinical findings of penumonia, they are not radiologically free of the pneumonia until an x-ray is done. So, when they present to the Radiology lab for that follow-up x-ray, for all intents and purposes, they continue to carry the diagnosis of pneumonia until that x-ray is read and the impression states negative/normal/no pneumonia (or however they choose to phrase it).

    I hope this helps put it in perspective...coding, the ever changing (and frustrating) career!

    Have a great holiday!


  4. #4
    Join Date
    Apr 2007


    Thanks a bunch Joyce. That was a wonderful way to explain this. I will remember this the next time this situation presents.

    Happy Holidays.


  5. #5

    Wink Follow-up x-ray

    You are very welcome. I am all for easy...when things get too technical, they often don't find a home in (what's left of) my brain...as I always say, slim pickins when it comes to my brain cells.

    Take care


  6. #6


    its to late to sent a message for your posting on 12-23-09 to laura
    But it was great !! I think the same way as you. 5 thumb up !!!!
    Why you nickname is guru ???

Similar Threads

  1. Xray
    By THEOLA in forum Gastroenterology
    Replies: 0
    Last Post: 03-04-2014, 07:29 AM
  2. Port Placement with same day follow up Chest Xray
    By jaldrich in forum Interventional Radiology
    Replies: 4
    Last Post: 07-28-2012, 09:02 AM
  3. Is a PA chest xray a single view xray?
    By dkaz1 in forum Interventional Radiology
    Replies: 3
    Last Post: 01-06-2011, 02:15 PM
  4. Xray
    By amartinez1 in forum Orthopaedics
    Replies: 2
    Last Post: 10-15-2010, 02:21 PM
  5. Xray
    By trwilson in forum Interventional Radiology
    Replies: 3
    Last Post: 04-21-2009, 10:05 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.