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PLEASE help me! Billing department driving me CRAZY!!

  1. #1
    Location
    Stuart, Florida
    Posts
    331
    Default PLEASE help me! Billing department driving me CRAZY!!
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    Please help!!!! I'm having problems with our office's biller. This visit is solely to establish care with the patient's newly assigned PCP.
    ________________________________________________
    Vital signs: temp 98.6 b/p 110/60 r 16 p 66 wt 156

    Subjective: Pt here to establish care. Pt feels well. Reports some occasional constipation. Drinks "plenty" of fluid. Reports using Miralax prn.

    Objective: Gen; A, A + O x3
    HEENT; nrml
    CV; RRR
    Pulm; CTA
    ABD; soft, nt/nd, BS +
    Extrem; +2 pulses, - edema

    Assessment: Well Woman

    Plan: check UA preg
    Yaz tab PO Qday #28 #3refills
    check 1000, TSH in 1-2 wk


    _______________________________________

    How would you code this visit?
    Vanessa Mier, CPC

  2. #2
    Location
    Charleston, WV
    Posts
    245
    Default
    V72.85 maybe? Or V68.89? As for CPT, I'm no E&M coder. Something from the new pt preventive range?

  3. #3
    Location
    Stuart, Florida
    Posts
    331
    Default
    Quote Originally Posted by gost View Post
    V72.85 maybe? Or V68.89? As for CPT, I'm no E&M coder. Something from the new pt preventive range?
    CPT wasn't an issue. I'm looking to see what DX codes people can give me for this visit. Thanks for your input!
    Vanessa Mier, CPC

  4. Default
    There is noted extremities 2 plus edema;
    requesting for UA Pregnancy-Is it for urine analysis INpregancy OR UA FOR pregnancy Test
    Without mention of present status of pregancy- the Dx code would be looked for edema extremities( not mentioned whcih extremities- usually not mentioned , the physicians generally mean it is for lower extremities ; (S) he has planned for thyroid tests .
    In general the info is incomplete.
    Well one thing seems to be sure is there is Edema 2plus I would like to suggest 782.3 edema (whatever edema it is), as presenting symptom in the absence of other Dx. In that case, we would not go for Vcode

  5. #5
    Location
    Stuart, Florida
    Posts
    331
    Default
    Quote Originally Posted by preserene View Post
    There is noted extremities 2 plus edema;
    requesting for UA Pregnancy-Is it for urine analysis INpregancy OR UA FOR pregnancy Test
    Without mention of present status of pregancy- the Dx code would be looked for edema extremities( not mentioned whcih extremities- usually not mentioned , the physicians generally mean it is for lower extremities ; (S) he has planned for thyroid tests .
    In general the info is incomplete.
    Well one thing seems to be sure is there is Edema 2plus I would like to suggest 782.3 edema (whatever edema it is), as presenting symptom in the absence of other Dx. In that case, we would not go for Vcode
    POSITIVE PULSES in both feet, NEGATIVE edema. Reread what was posted. ASSESSMENT = WELL ADULT. There is no diagnosis. V-code necessary for this visit. Biller claims that "insurances do not pay for visits using V-codes for diagnosis". I used a v-code, she claims that I am wrong. I did not want to give too much information, as to not sway any opinions. I work in office, coding, then all billable encounters get sent to billing department.
    Vanessa Mier, CPC

  6. #6
    Location
    Kingsport, TN
    Posts
    149
    Default
    I would code this:

    V70.0
    V25.01

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