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Pediatric Coding Alert

READER QUESTIONS :

Stop 'Too Many Diagnoses' Denials With 1 V Code

Published on Wed Jul 01, 2009

Question: Medical Assistance (MA) started denying Minnesota's preventive medicine service plan, Child and Teen Checkups (C&TC), due to too many diagnosis codes. There are so many because we put a V code on each immunization. Our MA coordinator told us not to do that and to put V20.2 on everything on the claim. Should I put V20.2 on immunizations or split the claim? Minnesota Subscriber Answer: Because the guideline adheres to ICD-9 guidelines, you can stick to the program's requirement of reporting V20.2 (Routine infant or child health check) across the board. ICD-9 guidelines indicate that you should link the vaccines to V20.2. "A code from V03-V06 may be used as a secondary code if the inoculation is given as a routine part of preventive health care, such as a well-baby visit," according to Coding Clinic (4Q 1996, p. 50). Let's say at a 1-year-old's C&TC with no referrals (NU), [...]
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