Go Back   AAPC Forum > Medical Coding > Urology
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Thread Tools
Old 08-06-2009, 03:24 AM
Partha Partha is offline
Join Date: Apr 2007
Posts: 298
Partha is on a distinguished road
Default Post kidney transplant visit dx code...

If patient visits dr post kidney transplant and the patient is doing well with no problems, what is a correct dx to bill for the current visit, V42.0? V42.0 is a secondary diagnosis per CPT manual
Reply With Quote
Old 08-06-2009, 03:29 AM
drspatil's Avatar
drspatil drspatil is offline
Join Date: Apr 2007
Location: atlanta GA
Posts: 98
drspatil is on a distinguished road

Sir, can we code as V58.44 with V42.0?
Reply With Quote
Old 08-06-2009, 06:20 AM
Om Om is offline
Join Date: Apr 2007
Posts: 40
Om is on a distinguished road

We will code it as V58.44 followed by V42.0.
Reply With Quote
Old 09-04-2009, 11:44 AM
seattlegrace seattlegrace is offline
Join Date: Apr 2007
Posts: 11
seattlegrace is on a distinguished road

I agree with the above advice. However, what is everyone's opinon in how this aftercare code should be used? The official coding guidelines indicate that aftercare codes "cover situations when the initial treatment of a disease or injury has been performed and the patient requires continued care during the healing or recovery phase, or for long-term consequences of the disease. The aftercare V code should not be used if treatment is directed at a current, acute disease or injury. The diagnosis code is to be used in these cases."

So if a patient comes in for his routine maintenance six years following transplant, without problems, would you still report V58.44? However, what about if the kidney is functioning fine, but the doctor documents diabetes and/or hypertension. In such cases would you report 250.00 and/or 401.9, rather than V58.44 since those conditions can be so closely related to kidney disease? Does matter how many years have passed since the transplant?

Thanks for any input/rationale.
Reply With Quote

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 02:38 PM.

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2015, Jelsoft Enterprises Ltd.
Copyright ?2015, AAPC