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Need diagnosis for gyn exam post hysterectomy

  1. Default Need diagnosis for gyn exam post hysterectomy
    Medical Coding Books
    #1 Yesterday, 12:19 PM
    MsMaddy
    Guru Join Date: Apr 2007
    Posts: 174


    Need diagnosis for gyn exam post hysterectomy

    --------------------------------------------------------------------------------

    I need a diag code for gyn EXAM WITH OUT PAP post hysterectomy. Please!! ALSO, ONE OF MY DOCTOR WANTS A " GYN DIAGNOSIS WITH OUT PAP " I CAN NOT FIND ONE FOR HIM AND I HAVE TOLD HIM ITS OK TO USE V72.31 FOR THAT, BUT HE DOES NOT LIKE IT AND HE WANT A DX CODE FOR " GYN " ONLY NO PAP INCLUDED AT ALL. SOMEBODY RESCUE ME!! THIS IS ONLY FOR DAY WHERE HE DOES NOT DO SMEAR ONLY PELVIC EXAM.

    Thanks in advance
    msmaddy:d

  2. #2
    Location
    Harrisonville, MO
    Posts
    13
    Default
    the ICD-9 definition for a V72.31 is General GYN exam with or without a pap; pelvic exam (annual) (periodic) so you are correct.

  3. Default GYN exam post hysterectomy
    I recommend that you take your ICD-9 manual to your provider. Show him where it directs that V72.31 is for either. Also show him the codes under V88.01; one of them should be added to his dx list also, this will help explain the GYN exam without a smear. You might want to point out V76.47 to him in case he does want to do a smear on someone that has had a hysterectomy.

  4. Default Icd-9 code
    Why dont you use status(post) code V88.01

  5. Default Dx code with or without pap
    I agree with the V72.31. The V76.47 is a vaginal pap smear and is different from cervical pap smear. I do not us the V88.1.

  6. #6
    Default
    Hello,

    I was wondering what codes you would use for a follow up pap smear after a hysterectomy for cancer. We are having a debate about v45.77 and v88.01.

    Thanks,
    Rebecca

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