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99395 denied due to V code

  1. Question 99395 denied due to V code
    Medical Coding Books
    Good morning,

    My Dr. was denied 99395 because he used V20.2 as a primary Dx. I thought you can use the V code when billing 99395.. Can someone please help me understand?

  2. #2
    Columbia, MO
    99395 is age adjusted for 18-39 and V20.2 is age adjusted for 0-17. So either your patient is 18 or over and you need to use the V70.0 dx code or your patient is under 18 and you need a different preventive code.

    Debra A. Mitchell, MSPH, CPC-H

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