Thursday, May 17, 2007

V61.5 & V25.2

When a pt comes in for a tubal ligation, use V25.2 as your first listed dx code.

I have seen V61.5 being used. According to the ICD-9-CM Coding book, this is an unacceptable principle dx.

Colonoscopy Guidelines

AHA reply 2/19/09

Assign Code V67.09, Follow-up exam, as the first listed dx for the colonoscopy encounter described below in example #1. Assign code V12.72, Personal history of Colonic Polyps, as a secondary dx.

Ex, #1: Previous h/o polyps. No new polyps are found.

If, however, a condition is found to have recurred on this follow-up visit, then the diagnosis code is assigned in place of the follow-up code. See example #2.

Ex. 2: Previous h/o polyps. New colon polyps are found. First listed dx code will be 211.3
Do not assign V12.72 since polyps are now current.


Wednesday, May 16, 2007

Favorite weblinks

American Academy of Professional Coders- http://www.aapc.com/

American Health Information Management Association- http://www.ahima.org/

Just Coding - http://www.justcoding.com/ (requires membership to access most items. Let me know if something looks interesting and I can obtain for you)

American Hospital Association - http://www.ahacentraloffice.org/ahacentraloffice/index.html

Advance for Health Information Professionals- http://health-information.advanceweb.com/

For The Record - http://www.fortherecordmag.com/

TrailBlazer - http://www.trailblazerhealth.com/Policies/Local%20Coverage%20Determinations/Default.aspx?

send me any of your favorites...JJ

Tuesday, May 15, 2007

EGD with polypectomy

A question I submitted to Coding Clinic AHA has been published in their First Quarter 2007 "Coding Clinic for HCPCS" newsletter.
Question: Pt has EGD with gastric polypectomy. Polypectomy performed with cold bx forceps. What is correct CPT code?

Answer: Report CPT code 43258.

LEEP 57522

LEEP procedure is coded 57522. The px is rarely done using a Colposcopy. I have seen CPT code 57460 used but no evidence of a colposcopy being used.