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HELP! Please. V22.1 v. V72.42

  1. #1
    Location
    Richardson, TX
    Posts
    822
    Question HELP! Please. V22.1 v. V72.42
    Medical Coding Books
    I'm new to OBGYN and would like to understand WHEN I should bill V22.1 or V72.42.

    The patient comes in for follow-up of med refill (Atenolol - SVT) and late menses. A HCG test is performed, confirmed positive. The physician billed 99213.

    Do I use V72.42 in this instance or V22.1? I've read some information here in the forums and online but I do not think I'm grasping it. I want to be certain my coding is correct.

    Please help me understand.

    Thank you!
    Julie Graham, BA, CPC, CCC

  2. #2
    Default
    Hi, V72.42 is what I use for pregnancy test. Check out this link, it might be able to help you out.



    http://www.acog.org/departments/dept...&bulletin=5357
    Last edited by missy874; 09-29-2011 at 07:15 PM.
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

  3. #3
    Location
    Burling, MA
    Posts
    36
    Default
    Quote Originally Posted by jewlz0879 View Post
    I'm new to OBGYN and would like to understand WHEN I should bill V22.1 or V72.42.

    The patient comes in for follow-up of med refill (Atenolol - SVT) and late menses. A HCG test is performed, confirmed positive. The physician billed 99213.

    Do I use V72.42 in this instance or V22.1? I've read some information here in the forums and online but I do not think I'm grasping it. I want to be certain my coding is correct.

    Please help me understand.

    Thank you!
    Patient was determined pregnant as a result of a pregnancy HCG test, so you would use a V72.42 since this code is for a pregnancy test with positive findings.
    You would use codes V22.0 and V22.1 codes in pregnancy for normal supervision. If patient has other issues or complications, you would reference the range 630-677.
    V22.0 is for a routine OB visit with a patient who is presenting as a normal pregnancy for the first time.
    V22.1 is for a routine OB visit with a patient who has had subsequent normal pregnancies.
    V22.0 and V22.1 are always to be listed first and can never be coded along with a problem that falls into the 630-677 category.
    I hope this helps you!

  4. #4
    Location
    Richardson, TX
    Posts
    822
    Default
    Thank you ladies so much! Very helpful. Thank you for the link, missy874.

    Happy Friday!
    Julie Graham, BA, CPC, CCC

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