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Complaint of Rx label

  1. #1
    Location
    Anchorage, AK
    Posts
    31
    Default Complaint of Rx label
    Medical Coding Books
    I have a patient who presents with a prescription question. The package of BC pills looks exactly the same but the label was different, possibly a typo.

    How would you code the DX and would you use a office visit code for this case?

    Thank you for any input!

  2. #2
    Location
    Salt Lake City
    Posts
    841
    Default
    They came in to see a Dr. or a Nurse for concerns about their Rx?
    Jenifer McPolin CPC, CPMA, RCC

  3. #3
    Location
    Anchorage, AK
    Posts
    31
    Default
    Quote Originally Posted by jmcpolin View Post
    They came in to see a Dr. or a Nurse for concerns about their Rx?
    Oddly enough, yes they came in to see a health practitioner regarding their prescription label.

  4. #4
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by maysix View Post
    Oddly enough, yes they came in to see a health practitioner regarding their prescription label.
    If the visit only took 5 minutes to determine the problem, I probably would make it a freebie. If they took 15 or 20 minutes to explain the situation, then it is either a counseling visit or a very low level E/M depending on the documentation. The dx code would be
    V25.01.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  5. #5
    Location
    Salt Lake City
    Posts
    841
    Default
    They must have alot of time on their hands lol, well I would have to see the dictated note to see. If there was a history exam and mdm then you could bill a E&M and then maybe
    V70.8 or V65.49 for the dx.
    Jenifer McPolin CPC, CPMA, RCC

  6. #6
    Location
    Salt Lake City
    Posts
    841
    Default
    Oh yes I like the V25.01 much better
    Jenifer McPolin CPC, CPMA, RCC

  7. #7
    Location
    Anchorage, AK
    Posts
    31
    Default
    Thank you both!!!!

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