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Thread: Coumadin Therapy Correct coding sequence

  1. #1

    Default Coumadin Therapy Correct coding sequence

    AAPC: Back to School
    When coding coumadin therapy do I use the initial diagnosis as primary such as atrial fibrillation and the therapy code V58.61 as secondary? Or do I just use the V58.61 for the coumadin therapy?

  2. #2
    Join Date
    Apr 2007
    Bangor, Maine


    I always use the 427.31 as the primary (only if it is documented) and the V code as secondary. Have you been having problems getting the V code paid as primary? I have many accounts that do not have the a fib code and the V code has to go as the primary and I do not recall having any problems getting it paid that way either.

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    V58.6x codes are secondary only since 2003. The Coding Clinics state the correct way to code for a coumadin encounter is to use the V58.83 (encounter for therapeutic drug monitoring) first then the V58.6x, then the code for say Afib as third if you have it.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Join Date
    Apr 2007
    Bangor, Maine


    Deb, I had no idea. Thanks for the info

    Hope you had a good Hoilday! I'm just glad that it's over...

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