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ICD-9-CM help

  1. #1
    Question ICD-9-CM help
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    I had a patient that had a bartholins cyst removed, we are billing the post op visit and I normally would bill that

    prepaid OV - no charge
    V58.49 dx

    I also noticed V58.76 - Aftercare following surgery of the genitourinary system, NEC- Conditions classifiable to 580-629However the notes is what's got me stummped:
    Note: Codes from this subcategory should be used in conjunction with other aftercare codes to fully identify the reason for the aftercare encounter
    Excludes: aftercare following organ transplant (V58.44), aftercare following surgery for neoplasm (V58.42)

    Would I then code V58.76 and 616.2? What other aftercare codes are they referring to? I am guessing it means to bill V58.49 and V58.76 to specify the site of surgery. Although V58.49 can be billed alone. Can someone please help as I searched all over for this and came up with nothing but what the ICD-9-CM states.

    Thanks

  2. #2
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    The difference between aftercare and followup is that aftercare says that you are still mananging some part the surgical even such as dressing changes or draining tubes for example while followup is a surveillance of the patience to make sure all is ok. So what they mean by the note following V58.76 is to include other codes probably V codes that explain the type of aftercare being rendered. Such as V58.82 attention to sutures and staples, or a V53.x or V52.x for attention to devices like catheters or drains. This is what they are looking for.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
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    Thank you, that makes sense. So since there were no sutures, staples or devices attended to then V58.76 would not be the best choice, V67.09 would be best?

  4. #4
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    That is what I would use.

    Debra A. Mitchell, MSPH, CPC-H

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