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Vcode as primary Dx.

  1. #1
    Question Vcode as primary Dx.
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    I'm curious, can we use a Vcode as a primary Dx if there is not other Dx problem or disease that can be coded along with it?

    Instance: Patient comes in for a routine weight check visit (age 8 days). He's already been seen for his NB well visit and is just returning for a f/u weight check. We code a 99213 for the office visit and a V20.31/2 for the Dx.

    Thanks in advance,


    Cheryl Miles, CPC

  2. #2
    Columbia, MO
    Yes V codes can be primary. In fact some V codes are primary only allowed. SUch as the V20.xx are first-listed only allowed.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Jacksonville, Florida
    Yes, a V code can be used primarily if there is no other dx code but make sure that the insurance accepts a V code.

  4. #4
    Columbia, MO
    Quote Originally Posted by Faith C Taylor View Post
    Yes, a V code can be used primarily if there is no other dx code but make sure that the insurance accepts a V code.
    The insurance must "accept" the V code because it is the patient's diagnosis. We have no choice but to code exactly the dx documented by the physician. The payer can make a decision that the dx we chose is non covered or is not medically indicated but they must accept the dx we assign to the claim.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Yes...V codes can be used as primary diagnosis codes. I just question why this baby was brought back in for a weight recheck after it's NB routine visit. This is not something that is routinely done unless there is some issue, IE: failure to thrive. I would get clarification from the physician. Most insurances are not going to cover this if they have already paid for a routine NB visit

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