AAPC - Back to school
Page 1 of 2 12 LastLast
Results 1 to 10 of 11

Thread: V codes

  1. #1

    Question V codes

    AAPC: Back to School
    One of the physicians I work for came to me yesterday with a question in regards to code V20.2. He wanted to know up to what age he should be using this for the dx when the child presents for the annual exam. I've looked in the ICD-9 book but can't find any documentation that states a physician should not be using this dx at a certain age.

    Can someone shed some light on this for me?

  2. #2
    Join Date
    Apr 2007
    Louisville, KY


    Until the child is 18 if male. If female, then up to the point that her first Pap would be done (I believe).

    There are exceptions, such as when a child presents for school physicals, sports, and so on. Other than that, V20.2 should be good.

    I can find no further limitations on use of the code, either through Coding Clinic or ICD Guidelines. Hope this helps.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  3. #3


    Thanks. I'll share this information with him.

  4. #4
    Join Date
    Apr 2007

    Default stacey

    That code is for ages 0-17 if you look at that code it the icd9 book and then look at the p next to the code then go to the bottom of that page it shows you the age of the dx

    Stacey cpc

  5. #5

    Default telephone consult

    Does anyone know what CPT to use when coding a telephone consult?

    any help is appreciated,

  6. #6
    Join Date
    Apr 2007
    St. Louis, Missouri


    Look at 99371 - 99373 for the telephone calls but most insurance companies don't pay for these codes.

    Melissa Blow, CPC

  7. #7


    thanks Malissa

  8. #8

    Default Help!!

    Is anyone familiar with post OP modifiers??? I'm trying to appeal a claim for medicare on a pt who had an office visit on the 9th for a removal, and then came back on th 18th and had a differnet removal, each visit was a seperate procedure. Medicare paid the 9th, and is calling the 18th a rebundling and doesn't want to pay, I had originally resubmitted the 18th w/ an appeal adding a modifier 59, but medicare is now saying I have to use a different modifier, they mentioned a "Post OP Modifier"????



  9. #9
    Join Date
    Apr 2007
    San Diego



    Depending on the circumstances surrounding your patient - you would look at the following modifiers:

    -78, Return to the O/R for a Related Procedure during the Post Op Period
    -79, Unrelated Procedure or Service by the same physician during the Post Op Period

    Also, take a look at Modifier 58 -
    Staged or Related Procedure or Service by the same physician during the Post Op Period
    (This modifier is used when MD knows in advance that the patient will return to O/R for additional procedures. In other words, the service is done in "stages", as in a complex hemorrhoidectomy.

    Hope this helps!
    Sylvia Thompson, CPC
    Billing Supervisor
    San Diego, CA

  10. #10

    Default Thank you

    Wow that was quick!! thanks for getting back so fast. Before I read your response I was going with modifier 58, but no sure enough Modifier 79 matches my needs. I'm gonna go with modifier 79.
    thanks so much!!!


Page 1 of 2 12 LastLast

Similar Threads

  1. Replies: 4
    Last Post: 01-30-2015, 11:36 AM
  2. Reimbursement for consult codes vs medicare new office/hospital eval codes
    By cardiocoder in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-20-2014, 08:09 PM
  3. REV codes which now require HCPC/CPT codes
    By Temeka in forum Medicare Regulations
    Replies: 1
    Last Post: 02-15-2011, 08:39 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.