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PT/INR for Coumadin use w/ Afib

  1. #1
    Talking PT/INR for Coumadin use w/ Afib
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    So, when you code a lab (PT/INR) for a patient on Coumadin and the slip says : Atrial Fib, Coumadin use..... would you use just the 427.31, or would you use the 427.31, v58.83, v58.61 or which combo of these? I am confused as to whether or not just the 427.31 is sufficient, or do we need to sequence it with the v code(s). I need some advice, please!

  2. #2
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    I'm uncertain whether or not 427.31 would suffice but I, personally, would use all three codes.
    Vanessa Mier, CPC

  3. #3
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    That was my thinking as well, but then I didn't want to over code either......

  4. #4
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    Definitely not over coding, as the V codes are supplementary codes used to better classify the factors influencing health status and contact with health services. If you have an ICD-9 book handy, I would read the explanation of V-code purpose on the first page of the V-codes in your Tabular List.
    Vanessa Mier, CPC

  5. #5
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    I would report V58.83, 427.31, and V58.61 in that order.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

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