Home Health ICD-9/ICD-10 Alert
Look Beyond Follow-Up Codes for Chemo
Question: In our home health program we often care for patients who are receiving chemotherapy in the physician's office. Part of our skilled observation involves assessing for the effects/side effects of chemotherapy. The code V67.2 is for follow-up examination following chemotherapy. Is this code to be used only in a physician's office or would it be appropriate to use this as an OASIS diagnosis in M1022? -- North Carolina Subscriber Answer: The V67.x (Follow-up examination) codes are intended to be used when a patient has completed treatment for a disease, condition, or injury but still requires continued observation. These codes indicate that the condition has been fully treated and no longer exists, unlike aftercare codes that would report current treatment for a healing condition. V67.2 (Follow-up examination following chemotherapy) wouldn't be appropriate for the patients for whom you are caring because you are providing treatment for a current condition. In addition, the V67 codes (for the most part) are primary only. Considering that V67.2 is not appropriate, coding guidelines state to avoid coding symptoms as primary when the reason for the care is cancer with certain exceptions. Consider coding for the cancer as primary or code for the symptoms as an adverse effect of chemotherapy.
Home Health ICD-9/ICD-10 Alert
- ICD-9 2011:
Prepare for New Fluid Overload, Incontinence,and Seizure Codes with the 2011 ICD-9 Update
Get physician documentation before you report the new morbid obesity codes. Come October 1, you [...] - You Be The Coder:
Pair Up Codes for Diabetic Manifestations
Question: Our 72-year-old male patient with uncontrolled type II diabetes and diminished visual acuity due [...] - ICD-10:
Prepare for More Characters and More Excludes with ICD-10
Add these 4 items to your ICD training checklist and bring staff on board early. You [...] - Coding How-To:
4 Questions Clear the Way to Better Wound Coding
Determine the cause of each wound to hit the diagnosis nail on the head every [...] - Clear up Wound Coding Confusion
Coding for any patient can present some twists and turns along the path to the [...] - Reader Questions:
Look Beyond Follow-Up Codes for Chemo
Question: In our home health program we often care for patients who are receiving chemotherapy [...] - Reader Questions:
Get the Documentation on Diabetic Assumptions
Question: I have read in your publication that "coding guidelines allow you to assume that [...] - Reader Questions:
300.29 Is Best Diagnosis for Emetophobia
Question: What diagnosis code applies to "emetophobia," the fear of vomiting? -- Virginia Subscriber Answer: ICD-9 [...] - Reader Questions:
Remember Primary Diagnosis Code for These Diabetics
Question: I am coding a claim that includes the following: "secondary diabetes w/ renal manifestations." [...] - Reader Questions:
Anemia or Underlying Disease? You Decide
Question: Our patient with mild (stage II) chronic kidney disease (CKD) has also been diagnosed [...]
