Cardiology Coding Alert
List V Codes With Reason for Surgery
Question: Is there a specific diagnosis code for pre-op surgical clearance, or should I simply report the reason for the clearance, such as CAD, 414.01?
Texas Subscriber
Answer: In most cases, you should use V72.81 (Preoperative cardiovascular examination) as the primary diagnosis. Remember, when you submit claims for preoperative medical examinations and preoperative diagnostic tests, you should list the appropriate V code (V72.81-V72.84, Preoperative examinations) along with the reason for the surgery and the reason for the preoperative clearance as supplemental codes, according to the Medicare Carriers Manual.
You Be the Coder and Reader Questions were prepared with the assistance of Jim Collins, ACS-CA, CHCC, CPC, CEO of the Cardiology Coalition and compliance manager for several cardiology groups around the country; and reviewed by Jerome Williams Jr., MD, FACC, a cardiologist with Mid Carolina Cardiology in Charlotte, N.C.
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