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no symptoms

  1. #1
    Default no symptoms
    Medical Coding Books
    A patient comes into a neurology clinic after testing done for symptoms of HA and vision complaints. At f/u visit pt has no complaints and no symptoms, doctor discharges pt with only survailance. What icd-9 code would you use if pt is no longer having ha, no is the doctor treating them with anything?

  2. #2
    I would use the headache and vision diagnosis codes used on the first visit. The doctor had to follow up, so he was still treating those conditions.

  3. #3
    I would have to strongly disagree w/ using dx that aren't there. I would go w/ V12.49 personal history of disorders of the nervous system and sense organs.

  4. #4
    Default V code
    There are follow up V codes that could be used in this situation. I don't have my I-9 book on hand at home, something like follow up exam?
    Roxanne Thames CPC, CPC-I, CEMC

    "Remember the greatest gift is not found in the store but in the heart of true friends"

  5. #5
    I agree with Roxanne to use a follow-up code.

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