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
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