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V72.40 vs V72.41

  1. Default V72.40 vs V72.41
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    Hello,
    When is it appropriate to use codes V72.40 vs V72.41. I work in an outpatient infusion center and we will begin to provide all women of child bearing age (55 and under) an HCG test to confirm that they are not pregnant before chemo is administered. What is the appropriate code to use.

  2. #2
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    Either code would be appropriate depending on if the test was neagitve or positive
    Brittany Purcell, CPC

  3. Default V72.40 vs V72.41
    So we can't code it until AFTER the test is performed? So what is written on the req in order to perform the test?

  4. Default
    'To exclude pregnancy' for treatment with chemotherapy !! OR 'to rule out pregnancy' for treatment with Chemotherapy !! That is the aim of the test before starting on/continuing chemptherapy.

  5. Default
    To rule out that the patient is pregnant (basically to confirm negative) using CPT 84702 prior to administering chemo

  6. Default
    Yes to rule out pregnancy by 84702 or 84703. The quantitative test is the most specific and to be sure of highest specificity.
    If it positive, the chemo would not be started /continued. The test may have to be repeated until the doctor is sure of non pregnant status for the patient.

  7. #7
    Default
    Quote Originally Posted by traci.susong@gmail.com View Post
    So we can't code it until AFTER the test is performed? So what is written on the req in order to perform the test?
    Look at V72.63, pre-procedural lab exam.

  8. Default
    Majo. I had a 'lure' at this code too but the word pre-procedural seemed to me not very appropriate because the treatment with chemptherapy did not convince me for a"procedure"in its literal sense. But now that you suggested I raise my eyebrows why not in its coding Procedural sense; to some extent could be !!!??

  9. #9
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    Quote Originally Posted by preserene View Post
    Majo. I had a 'lure' at this code too but the word pre-procedural seemed to me not very appropriate because the treatment with chemptherapy did not convince me for a"procedure"in its literal sense. But now that you suggested I raise my eyebrows why not in its coding Procedural sense; to some extent could be !!!??
    Yes, the gray areas of coding are mind-boggling. I suppose it offers job security.

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