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V-code as primary dx for chemo

  1. #1
    Longmont Colorado
    Default V-code as primary dx for chemo
    Clearnace Sale
    I was hoping someone could tell me when it is appropriate to use V58.11 as the primary diagnosis in an inpatient hospital setting. I understand it is when the "sole purpose of the encounter is for chemotherapy", but would you continue to use this code throughout a patient's admission, even if chemo is discontinued at some point? Any help is appreciated.
    Brad Howard, CPC, AHIMA Approved ICD-10 CM/PCS Trainer
    McKesson Specialty Health

  2. #2
    Columbia, MO
    without knowing more info the answer is yes. But are you coding facility or physician? did the patient's condition change?

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Longmont Colorado
    sorry - I am coding for the physician.

    The patient's status did not change, other than the drug was stopped.

    I will re-word my scenario:

    The patient was admitted to the hospital for the sole purpose of chemotherapy, recieved chemo on days 1-5 of the admission, on day 6 it states: chemo stopped. The patient stayed in the hospital for a couple more days, possibly to monitor the effects of chemo, to control nausea, etc.

    So the admission was for chemotherapy; I feel comfortable using the v58.11 as primary followed by the cancer code for days 1-5 at least, but the specific encounters on days 7, 8, 9 the pt did not have chemo administered. Yet the pt wouldn't have been in the hospital on days 7, 8, 9 if not for the admission for chemo, so by that argument I should still use v-code as primary.

    clear as mud?

    thanks for your help!
    Brad Howard, CPC, AHIMA Approved ICD-10 CM/PCS Trainer
    McKesson Specialty Health

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