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v67.51 as primary dx?

  1. Default v67.51 as primary dx?
    Medical Coding Books
    can v67.51 be used as a primary dx? and does it get paid?

    EX. doc sees pt who is s/p wilms tumor and s/p chemo and has been off treatment for yrs. the visit is basically for counseling and to see if pt is having any developmental problems after treatment.

    can v67.51 be used as primary with v10.52 as a secondary?


  2. #2
    Duluth, Minnesota
    Hi renifejn,
    actually, I would code the V10.52 as primary - yes, it was "counseling" of sorts but I think more of a follow-up. It "is" the reason the patient had to come in, because of the history of cancer - a follow-up to check things out isn't out of the ordinary.

    I'm really not too sure how often, if ever the V67.51 but I'm sure there are times when it's correct to use it!

    forgot to mention - yes, you can use V67.51 as either the 1st (primary) or add'l dx code. (per the Vcode table in the ICD-9 book) same for V10.52

    but again, in this case, I'd use the V10.52
    Last edited by dmaec; 07-24-2008 at 02:57 PM.
    Donna, CPC, CPC-H

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