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V-code as primary dx for chemo

  1. #1
    Location
    Longmont Colorado
    Posts
    22
    Default V-code as primary dx for chemo
    Medical Coding Books
    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
    brad.howard@mckesson.com

  2. #2
    Location
    Columbia, MO
    Posts
    12,843
    Default
    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
    Location
    Longmont Colorado
    Posts
    22
    Default
    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
    brad.howard@mckesson.com

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