If you look at the coding guidelines they tell you that the screening V code should be listed first regardless of any findings. The findings are secondary. The findings are incidental to the the expectations in a diagnostic screening test. The expectation is that the findings will be negative because the patient has no problems or complaints. When Medicare states to drop the screening and code the diagnostic, they are referring to the HCPCs and CPT codes. The diagnosis code is the patient's.
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