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Help- pt travel

  1. #1
    Location
    Murfreesboro,TN
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    11
    Default Help- pt travel
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    Pt came in to get meds and talk before going over sea's, and that is all that was documented for this visit. Which V- code would be most appropriate?

  2. #2
    Location
    Overland Park, KS
    Posts
    1,166
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    My experience has always been that travel encounters are primarily counseling visits on disease and/or injury prevention in addition to the necessary vaccines and prophylactic medication is sometimes given.

    Based on this, I would recommend you report V65.49 (other specified counseling). If prophylactic medication was given, I would also report V07.8 (other specified prophylactic or treatment measure). You would also report the V codes for any vaccines given.

    Hope this helps and this is my opinion
    Last edited by dballard2004; 05-05-2011 at 07:05 AM.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  3. #3
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    Quote Originally Posted by dballard2004 View Post
    My experience has always been that travel encounters are primarily counseling vists on disease and/or injury prevention in addition to the necessary vaccines and prophylactic medication is sometimes given.

    Based on this, I would recommend you report V65.49 (other specified counseling). If prophylactic medication was given, I would also report V07.8 (other specified prophylactic or treatment measure). You would also report the V codes for any vaccines given.

    Hope this helps and this is my opinion
    In my opinion your opinion is a good one.
    Mickie Kummer, CPC, CPMA, CRC, CPC-I, AAPC Fellow

  4. #4
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Something else to add here.....if the travel encounter was primarily a counseling visit for disease/injury prevention, I would report an E/M code from the preventative medicine counseling section (99401-99404) based on the time spent with the patient in counseling. You also of course need to report the CPT codes for any vaccines given.

    Also, if vaccines were given, I think you would have a significant, separately identifiable E/M with the preventative medicine counseling code, so I would add modifier 25 to the E/M (99401-99404).

    Hope this helps and this is my opinion.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

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