AAPC - Back to school
Results 1 to 8 of 8

Thread: v45.51

  1. #1
    Join Date
    Apr 2007

    Default v45.51

    AAPC: Back to School
    pt came in for mild spotting. doctor documented IUD surveillance and coded a v45.51. Claim was denied because this v code can not be primary. Claim corrected using v25.42. My question is when would it be appropriate to use v45.51?

  2. #2


    V45.51 is a secondary code and can't be used as primary

  3. #3


    IUD surveillance is v25.42

  4. #4


    " V25.42 to be reported as primary diagnosis and it is for management encounter whereas V 45.5x is for post procedural state/ presence check only it is noted in Vcode table it can only be SEC DX."
    It is all stated there we can pick up from ICD-9. Having said that, I would yet reinstate that it is still a gray tone because it can confuse any one for the degree of the difference between them- especialy the 45.5x.
    Can any one give the real descriptive and practical/clinical difference of these two-the surveillence and the state? with regards to their application?
    can any one answer the latter part of toiwalker's query please?

  5. #5


    This would only be used, and probably most often used by family physician, if patient had other problems and this was an incidental indication. Of course, you would use it second. Kind of the same as when a person has a headache or a cold when pregnant and V22.2 is used as secondary or third diagnosis to indicate that patient also happens to be pregnant.

  6. #6
    Join Date
    Apr 2007
    Terre Haute, IN


    V22.2 can only be used when the Physician States in Documentation that it is Incidental to Pregnancy.
    If he does not then you would use 648.93 and the 2nd Dx Code.

  7. #7
    Join Date
    Apr 2007
    Terre Haute, IN


    your First Dx should be the Spotting, then the IUD can be 2nd

  8. #8


    I got it so simple after you explained. It is a wonderful simuli. Thank you. But if there had been an extra word like "incidental", it would have been made easier for a quick reference because, you know, there are two V code very closely resembling each.

Similar Threads

  1. V45.89
    By pamela brashear in forum General Surgery
    Replies: 0
    Last Post: 01-27-2015, 06:16 PM
  2. V45.89
    By kr2011 in forum Diagnosis Coding
    Replies: 2
    Last Post: 11-22-2013, 11:07 AM
  3. V45.89
    By samyjm13 in forum Diagnosis Coding
    Replies: 1
    Last Post: 05-15-2012, 03:44 PM
  4. Dx V45.01
    By SonLe in forum Billing/Reimbursement
    Replies: 3
    Last Post: 04-12-2012, 04:56 PM
  5. V45.89
    By kr2011 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-17-2009, 08:33 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?


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.