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

Reply
 
Thread Tools
  #1  
Old 01-20-2012, 12:24 PM
CJames72 CJames72 is offline
Contributor
 
Join Date: Apr 2007
Posts: 12
CJames72 is on a distinguished road
Default Aftercare vs Follow up exam

I am a little confused about the use of follow up exam codes (V67). I have seen two used; V67.4- f/u exam following tx of healed fracture and V67.09- f/u exam following other surgery. At what point should the pt be switched from an aftercare code, ex V54.12, to V67.4? If during that visit the notes state "pt's fracture has healed" shouldn't that visit still be coded as aftercare since the determination regarding the fracture being healed was made that day?

In addition what are any additional guidelines re V67.09. My understanding is this code would not be appropriate for post operative visits during the global period. I would only apply this for possibly a yearly follow up. Does anyone have additional information or sources regarding this code?

I appreciate any guidance.

Thank you.
Reply With Quote
  #2  
Old 01-20-2012, 01:34 PM
cblack712 cblack712 is offline
Guru
 
Join Date: Apr 2007
Posts: 109
cblack712 is on a distinguished road
Default

The best def I have ever seen is in the ICD9 book. For 2012 it is on pg 18 in the coding guidelines section. Basically, if the patient has been dx with a fracture and are in the docs office for that fracture- i.e to check the healing, change the cast, continued pain, removal of cast etc.. then you use the aftercare code. If the patient had a fracture a year ago and it has been considered healed and no longer receieving treatment for the fracture and they come in because the area is sore again you would use the follow-up.
Reply With Quote
  #3  
Old 01-20-2012, 02:02 PM
ajs ajs is offline
True Blue
 
Join Date: Apr 2007
Location: Tacoma, WA
Posts: 1,082
ajs is on a distinguished road
Default

Quote:
Originally Posted by CJames72 View Post
I am a little confused about the use of follow up exam codes (V67). I have seen two used; V67.4- f/u exam following tx of healed fracture and V67.09- f/u exam following other surgery. At what point should the pt be switched from an aftercare code, ex V54.12, to V67.4? If during that visit the notes state "pt's fracture has healed" shouldn't that visit still be coded as aftercare since the determination regarding the fracture being healed was made that day?

In addition what are any additional guidelines re V67.09. My understanding is this code would not be appropriate for post operative visits during the global period. I would only apply this for possibly a yearly follow up. Does anyone have additional information or sources regarding this code?

I appreciate any guidance.

Thank you.
From the ICD-9 Guidelines pg 23.:
"Follow-up:
The follow up codes are used to explain continuing surveillance following completed treatment of a disease, condition, or injury. They imply that the condition has been fully treated and no longer exists. They should not be confused with aftercare codes that explain current treatment for a healing condition or it's sequelae. Follow-up codes may be used in conjunction with history codes to provide the full pciture of the healed condition and its treatment. The follow-up code is sequenced first, followed by the history code.

A follow-up code may be used to explain repeated visits. Should a condition be found to have recurred on the follow-up visit, then the diagnosis code should be used in place of the follow-up code."
__________________
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
Reply With Quote
  #4  
Old 01-21-2012, 08:20 AM
tefranklin57 tefranklin57 is offline
Networker
 
Join Date: Apr 2007
Posts: 56
tefranklin57 is on a distinguished road
Default

Aftercare diagnosis codes are used during post-op period (10-90 days)
Follow up diagnosis codes are used after the post-op period
V67.09 or V67.59 is for a reckeck after the condition no longer exist (6months or a year later).
Reply With Quote
  #5  
Old 01-21-2012, 12:17 PM
armen's Avatar
armen armen is offline
Expert
 
Join Date: Apr 2007
Location: Atlanta
Posts: 335
armen is on a distinguished road
Default

I personally use follow up dx after global period. Usually at this time all we charge is office visit & Xrays, (patient has no pain or other Dx) so the follow up is the best choice.
Reply With Quote
Reply

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 08:23 PM.


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