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Thread: V72.63 - I work hospital medical records

  1. #1
    Join Date
    Apr 2007

    Question V72.63 - I work hospital medical records

    AAPC: Back to School
    I work hospital medical records. I have a patient who came in for pre op labs few days prior to surgery. I coded the reason she came in, V72.63...which is what we do, then I coded the reasons for the surgery. Surgeon called and insisted we code the reason for surgery first, then the V72.63. (Patient's Ins will not pay if V code is primary) I cannot get a true answer on this.........??Any experts out there can help us? Thanks!

  2. #2


    The doc is correct. V72.63 is not an acceptable primary dx and the claim will not get paid if used in that context.

  3. #3


    I disagree. Per coding coding guidelines and coding clinic Code V72.63, Pre-procedural laboratory examination, is for use only when a patient is being cleared for treatment or surgery and no treatment is given.

    This code is to be used when a patient comes in for preprocedure labs only regardless if the claims does not get paid. You have to follow coding guidelines and coding clinics. This is a new code. The reason for the surgery you can add as secondary. There was an audioseminar that my facility had to go to for this by AHIMA.


    Kim, RHIT, CPC

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