Results 1 to 3 of 3

routine lab dx

  1. Question routine lab dx
    Medical Coding Books
    We are having issues with routine exams. When a patient comes in for a yearly exam and has "routine" bloodwork, we are coding dx of v70.0, unless the patient has a history of related illness.
    for example:if a patient has high cholesterol and has a "routine" lipid panel, we don't use the v70.0 because this is not a screening-as the patient has the dx. we use the v70.0 on the visit and other labs. We have patients that insist that the insurance is telling tham we should be coding the v70.0 even if that illness is already documented in their history. please advise as we are not going to code it just to please the patient, but we want to code it correctly.
    Last edited by kabishop; 03-31-2011 at 08:09 AM.

  2. #2
    Smile Routine Labs vs Diagnostic Lab based on history
    If the patient is having their annual preventive physical and their insurance will cover their routine labs such as lipids panel then code the labs with the V70.0, not the 272.X just because they have a personal history of lipids issues. It's not a matter of pleasing the patient; their insurance covers routine labs and at the time of their annual preventive physical, those labs are being ordered as part of their routine annual preventive benefit. It doesn't matter that they have a history of lipids, they also have routine covered services that their insurance will cover. This shouldn't be an issue. The reason for the occasion for the visit was routine, not diagnostic.

  3. #3
    Columbia, MO
    If you are checking labs during a routine visit for an already diagnosed issue that the patient is on medication for then the reason for the lab or other diagnostic is not the condition as you already know that, the reason for the lab as a routine is to check and make sure the medications are being effective in the treatment, therefore the appropriate code for the studies that fall in this area would be V58.83 and a V58.6x code. I have never had an issue with a payer covering the tests with these codes.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Routine exam vs. non-routine
    By rtate in forum Ophthalmology/Optometry
    Replies: 2
    Last Post: 01-04-2013, 06:08 AM
  2. Routine OB no longer routine
    By dmetz in forum OB/GYN
    Replies: 1
    Last Post: 12-15-2011, 03:35 PM
  3. routine or non-routine ob visit
    By sknapp56 in forum OB/GYN
    Replies: 2
    Last Post: 10-02-2011, 05:44 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.