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should pre-op code V72.82 be primary?

  1. Question should pre-op code V72.82 be primary?
    Medical Coding Books
    patient is being seen by pulmonologist for surgery clearance, Should the pre-op code V72.82 be the first ICD 9 code listed?

    I'm confused by the guidelines because:

    ICD 9 CM Section I.C.18.b
    states: "that V codes may be used as either a 1st listed code (inpatient setting) or secondary code, depending on the circumstance?
    refer to ICD 9 CM Section I.C.18.e

    states The list of V codes below may only be reported as the principal, except when there are multiple encounters on the same day, etc..... the V72.82 is not listed as being an acceptable
    again refers you to Section II.C which doesn't make sense either

    thank you

  2. #2
    Hartford, CT
    Section IV.N states " For patients receiving preoperative evaluation only, sequence first a code from category V72.8, Other specified examinations, to describe the pre-op consultations. Assign a code for the conditon to describe the reason for the surgery as an additional diagnosis. Code also any findings related to the pre-op consultation."
    Last edited by dclark7; 11-07-2012 at 06:25 AM. Reason: spelling
    Doreen Clark, CPC, CPMA
    Medical Auditing Specialist
    Integrated Physicians Management Services
    East Harftord. Ct

  3. Default should pre-op code V72.82 be primary?
    thank you D. Clark

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