Pediatric Coding Alert
Here's When to Report Steroid Therapy History
Question: I see that ICD-9 2010 introduced new codes for personal history of inhaled steroid therapy (V87.44) and for personal history of systemic steroid therapy (V87.45). Could you explain when I might use these codes?
Georgia Subscriber
Answer: You should use these codes for encounters when the personal history directly affects the patient's complaints or status.
You could use the V code to justify the need for laboratory or other diagnostic testing that a pediatrician uses for patients who are on chronic steroid therapy and have manifestations or side effects of treatment. These new personal history codes allow you to give a broader picture of the patient and the medical decision making. usually support charging a medically necessary face-toface encounter.
Pediatric Coding Alert
- Let 3 Markers Guide Your Age-Restricted Diagnosis Coding or Risk MCE Edits
Prevent fussy-infant claim rejections by following payers' cycle definitions. ICD-9 2010 threw you a curve [...] - You Be the Coder:
Parental Smoking Cessation Counseling
Question: At a problem-oriented visit, a pediatrician counsels a mother about how her secondhand smoke [...] - Greenlight 99211 With 9047x By Saying 'Yes' to These Questions
Don't code a nurse visit at a scheduled flu shot unless you can check off [...] - Research 99211 Policies to Apply CCI Only When Necessary, Per AAP
Following the Correct Coding Initiative (CCI) edits across the board might save you time, but [...] - Solving V60-V61 Dilemma? Look at Foster Care's Reason
One option can be only an additional diagnosis, not a primary. Now that you have [...] - READER QUESTIONS:
Check Cast Type to Determine Global, Itemization
Question: Our office has an after-hours facility that treats acute illnesses and non-complex injuries after [...] - READER QUESTIONS:
Is 99231 x 40 OK?
Question: A patient with date of birth (DOB) 8/24/09 is now 47 days old. The [...] - READER QUESTIONS:
Here's When to Report Steroid Therapy History
Question: I see that ICD-9 2010 introduced new codes for personal history of inhaled steroid [...] - READER QUESTIONS:
Negative Urinalysis on Day 2: What V Code?
Question: A patient came in for a well check. The pediatrician ordered a urinalysis, which [...] - READER QUESTIONS:
Injured While Dancing: There's an E Code
Question: A patient fell at dance class and our pediatrician treated her for a concussion. [...]
