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medicare v72.31

  1. Default medicare v72.31
    Medical Coding Books
    I have a question involving Medicare and the use of V72.31.
    A patient saw the doc for Atrophic Vaginitis, and does a screening
    with a pelvic exam, Q0091 and G0101. Payment was denied because
    I didn't use V72.31, as it was really diagnostic, and not a screening.
    what should I have used?
    Thanks!

  2. Smile Katherine Albert, CPC
    I would use the V72.31 first and 627.3 second as the diagnosis codes.

  3. #3
    Location
    Columbia, MO
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    Default
    Quote Originally Posted by pscott View Post
    I have a question involving Medicare and the use of V72.31.
    A patient saw the doc for Atrophic Vaginitis, and does a screening
    with a pelvic exam, Q0091 and G0101. Payment was denied because
    I didn't use V72.31, as it was really diagnostic, and not a screening.
    what should I have used?
    Thanks!
    If you are saying it was a diagnostic encounter and not a screening then you should not use the G0101 nor the Q0091, you may bill using an office visit level with the dx code for the problem. If you use the G and the Q code you are indicating a well woman exam which is why they want the V72.31. You cannot use the V72.31 nor the G and Q for a diagnostic encounter.

    Debra A. Mitchell, MSPH, CPC-H

  4. Default
    If it was diagnostic then I would not have coded it as a screening-sorry. I would use an E and M code, and use the atrophic vaginitis as the dx code.

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