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follow up xray

  1. #1
    Default follow up xray
    Medical Coding Books
    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
    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. 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
    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. 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 I always say, slim pickins when it comes to my brain cells.

    Take care


  6. Default
    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 ???

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