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AfterCare Coding

  1. Question AfterCare Coding
    Exam Training Packages
    Patient was recently seen with the following diagnosis:

    Left Mastitis (resolved)
    Left Shoulder Pain (Chronic)
    Fibrocystic breasts.
    HCG (-) Negative

    Our coders coded as follows:

    Left Mastitis (resolved) V58.89 Aftercare, NEC
    Left Shoulder Pain (chronic) 719.41 Joint Pain-Shlder
    Fibrocystic Breasts 610.1 Diffus cystic Mastopathy
    HCG (-) Negative V72.41 Pregnancy Exam/Test Negative

    Our Billing Department is questioning the appropriateness of using the V58.89 Aftercare, NEC for the Left Mastitis (resolved). Does anyone out there have any comments? Do you feel the AfterCare code is appropriate or should something else be used? Since the AfterCare code is a V Code is it appropriate to use as a primary diagnosis code? Appreciate any help with these questions?

  2. #2
    Phoenix, AZ
    It might help if you posted the patient's note for this visit. V58.89 is ok to use and primary or additional dx according to the table in the ICD-9 book.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

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