Results 1 to 6 of 6

V53.31 vs v45.01

  1. #1
    Exclamation V53.31 vs v45.01
    Exam Training Packages
    If the device clinic bills a 93280 and no permanent changes were made which would be the correct DX code ? V53.31 or V45.01 ?

    thanks

  2. #2
    Location
    Columbia, MO
    Posts
    12,570
    Default
    You can use both but the V53.31 is allowed first listed and the V45.01 is secondary only allowed.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    I suggest that the use of both V53.31 and V45.01 is redundant coding. Your CPT shows you are doing a PM eval and the V53.31 explains why. Adding the V45.01 is like saying “I am doing a routine evaluation of a PM and the patient has a PM".

    The V45.01 is more appropriate in providing additional info. Such as a patient who presents with a CC of palpitations and has a PM. It would be appropriate to code 785.1 and V45.01 as the presence of the PM is valid additional info for a patient with this CC

  4. Default
    For routine PM analysis I use V45.01, not always necessary to provide another dx. We dont have any problems with our claims being denied for billing with one dx. V53.31 is used for battery depletion, "end-of-life" battery status etc.

    Dolores, CPC- CCC

  5. Default
    V53.31 Fitting and adjustment of cardiac pacemaker
    V45.01 Other postprocedural states

    V53.31 is not limited to only routine end-of-life

    If you are evaluating the PM unit, code V53.31

    If you providing additional relevant information, code V45.01

  6. #6
    Location
    Columbia, MO
    Posts
    12,570
    Default
    Quote Originally Posted by deeva456 View Post
    For routine PM analysis I use V45.01, not always necessary to provide another dx. We dont have any problems with our claims being denied for billing with one dx. V53.31 is used for battery depletion, "end-of-life" battery status etc.

    Dolores, CPC- CCC
    If you check the guidelines and the notation in your codebook you will see that V45.01 is a secondary only dx code it cannot be first listed or the only code submitted. To use this code as a first listed code is non compliant. Just because the payer pays does not equate to proper coding.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. V45.89
    By pamela brashear in forum General Surgery
    Replies: 0
    Last Post: 01-27-2015, 07:16 PM
  2. V45.89-used for any postprocedural
    By samyjm13 in forum Diagnosis Coding
    Replies: 1
    Last Post: 05-15-2012, 04:44 PM
  3. Dx V45.01
    By SonLe in forum Billing/Reimbursement
    Replies: 3
    Last Post: 04-12-2012, 05:56 PM
  4. v45.51
    By toiwalker in forum OB/GYN
    Replies: 7
    Last Post: 08-11-2010, 01:33 PM
  5. V53.02 as principle dx.
    By atxn1969 in forum Medicare Regulations
    Replies: 1
    Last Post: 06-08-2009, 10:36 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.