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Thread: Diagnosis Based Upon Presenting Problem

  1. #1
    Join Date
    Apr 2007
    Cincinnati Ohio

    Question Diagnosis Based Upon Presenting Problem

    AAPC: Back to School
    I work for several large ED sites. If a patient presents to the ED with a "feared condition" such as a foreign object in nose but upon exam the ED physician finds nothing wrong with the patient; can you code by the presenting problem (i.e. foreign object in nose) or do you have to use a V code which most Payers will not cover.


  2. #2
    Join Date
    Apr 2007
    St. Louis, Missouri


    I would code the symptoms. What made them think that they had a foreign object in their nose? Code whatever symptoms they gave for this.

    Melissa Blow, CPC

  3. #3
    Join Date
    Apr 2007
    Louisville, KY


    In the event you have no reported signs/symptoms, assign V71.4 (or something similar and to your liking). If the provider did document symptoms, I'd report those first, followed by V65.5.

    Good luck.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  4. #4

    Default "feared" or "suspected condition"

    I also work for ED and many times we get children with suspected FB, or suspected injestion, when there are no signs or symptoms for DX, I use V71.9 I usually do not have a problem with reimbursement

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