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Thread: IUD surveillance

  1. #1

    Default IUD surveillance

    We have a patient who had an IUD inserted for control of menorrhagia. When coming in for her IUD checks I have been using the V25.42 IUD surveillance code but insurance is denying as non-covered service. We did get approval for the IUD for the menorrhagia. My question is should I be using the 626.2 primary with the V25.42 secondary or would the code V25.3 Menstrual extraction (description reads menstrual regulation).

  2. #2
    Join Date
    Apr 2007
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    Default

    use 626.2 for your primary. some V codes cannot be used as primary dx.

  3. #3
    Join Date
    Apr 2007
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    Albany
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    Default

    If you are only doing an IUD check then V25.42 is the correct code to use on the followup visit... 626.2 should only be used if that medical condition is addressed at the visit. If you are only checking for placement, strings, etc...then you are stuck with the V25.42 code.
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

  4. #4
    Join Date
    Apr 2007
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    Tacoma, WA
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    2017 ICD-10-CM Coding Book
    Quote Originally Posted by sknapp56 View Post
    We have a patient who had an IUD inserted for control of menorrhagia. When coming in for her IUD checks I have been using the V25.42 IUD surveillance code but insurance is denying as non-covered service. We did get approval for the IUD for the menorrhagia. My question is should I be using the 626.2 primary with the V25.42 secondary or would the code V25.3 Menstrual extraction (description reads menstrual regulation).
    As long as the provider documents at each of those encounters that the reason for the IUD is menorraghia you may use that for your primary code with the V code secondary.
    Arlene J. Smith, CPC, CEMC, COBGC
    AAPC Tacoma WA Chapter

    President 2015
    Past-President 2013 and 2011
    President-Elect 2010
    Member Relations 2008
    AAPC NAB 2007-2009

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