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V23.2

  1. #1
    Default V23.2
    Medical Coding Books
    Good afternoon,
    I am working a denial where they have said that V23.2 couldn't be used as a primary... I returned with the table in the ICD9 guidelines. Their response was:

    under (15) Nonspecific V Codes is where I find V23.2 in the ICD-9 CM book Hopefully this will help explain it further.

    Does this make sense to anyone else??? Help! I am gnashing my teeth because in my (limited within OB) experience I have the belief that it is specific.

    Thanks for any help
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

  2. #2
    Location
    Columbia, MO
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    Default
    V23 codes are allowed first listed or secondary. What is the dx for the patient? because certain conditions are excluded with V23.2. If you patient is currently pregnant with a hx of abortion you should use 646,3x.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    yes as mithellde said this 23.2 needs to meet the requirements of the conditions classifiable to 634-638. Why because these conditions have definite/ possible bearings on the current pregnancy and its outcome.
    More over as she poined out you should have a base code for this current pregnancy to give more info to validate the High Risk pregnancy Supervision- that is the subcategory it belongs to.
    I hope I am helpful!!!?

  4. #4
    Default
    Thank you, but the reason I dont use the 646.3 code is that it says habitual which is defined in the ICD9 as 3 or more consecutive.... she has only one prior abortion. Can you use this with only one? Any and all suggestions are helpful
    Oh yeah, this code (V23.2) was used on the antepartum cpt 59425
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

  5. Default
    To Term 'habitual abortion'-yes, more than 2consecutive abortions.But this V23.2 excludes the habitual aborters. I said it requires any of those classifiable to 634-638
    Thank you

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