Aftercare involving the use of plastic surgery (V51)
ICD-9 code V51 for Aftercare involving the use of plastic surgery is a medical classification as listed by WHO under the range -PERSONS ENCOUNTERING HEALTH SERVICES FOR SPECIFIC PROCEDURES AND AFTERCARE (V50-V59).
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The correct code first listed is V51.0 Encounter for breast reconstruction following mastectomy. You would use the V10.3 if the patient has completed all therapy and there is no evidence of disease, ... [ Read More ]
[QUOTE="kmason1429, post: 330633, member: 278219"]They denied it stating that since we did not receive pre-certification prior to the surgery that our contract states they do not have to pay anything.... [ Read More ]
Thank you for the reply.
Diagnostic coding guideline for outpatient services states that "Certain aftercare codes require secondary dx". Kindly see reference below. Would like to have some clarificat... [ Read More ]
[QUOTE="ohinslh, post: 268077, member: 13329"]We get this paid with the code 612.0 (deformity of reconstructed breast) and history code V10.3[/QUOTE]
612.0 is not used for a reconstruction following m... [ Read More ]
if the reason for the procedure is to reconstruct the breast due to mastectomy due to breast cancer then you need to use the V51.- code first listed with the V10.3 secondary. To have a reconstruction... [ Read More ]
My claims to Tricare for 11921 which have been paid for in the past using diagnosis of V10.3 or V51.0 are no longer being paid with either of those diagnoses. Has anyone out there had a Tricare claim ... [ Read More ]
Hi all! I posted this question before but did not get an answer and I really need help!!!
Can someone look at this note and give me feedback on what codes to use? I originally was going to use 19370-5... [ Read More ]
Hi all! I posted this question before but did not get an answer and I really need help!!!
Can someone look at this note and give me feedback on what codes to use? I originally was going to use 19370-5... [ Read More ]
The following V codes were included in the Centers for Medicare & Medicaid Services' list of qualifying V codes for use with the OASIS payment diagnoses item, now M1024, which ran in Attachment D.V04.5 -- Vaccine for rabies V07.0 -- Prophylactic isolation [...]
These codes were included in the Cen-ters for Medicare & Medicaid Services' Attach-ment D list of qualifying V codes for use with the OASIS case mix item now known as M1024:V04.5 -- Vaccine for rabies V07.0 -- Prophylactic isolation V07.1 -- Desensitization to [...]
The following V codes are included in the Centers for Medicare & Medicaid Services' list of qualifying V codes for use with M1024. V04.5 -- Vaccine for rabies V07.0 -- Prophylactic isolation V07.1 -- Desensitization to allergens V07.2 -- Prophylactic immunotherapy V07.39 -- Other prophylactic [...]
Question:We have a claim for nipple reconstruction the payer is denying. The ob-gyn has previously diagnosed the patient with breast cancer and did the surgery to remove it several years ago. Should I code the patient as still having breast [...]
Question: Our hospital is arguing with our office that the primary diagnosis we reported for a patient, skin cancer of the nose (173.3), is incorrect and that we report the V51 code, an aftercare code, as primary. Can you please [...]
Question: A patient with a high risk of breast cancer (due to a strong family history of breast cancer) was admitted for reconstructive breast surgery following removal of her breast. How should I code the diagnosis? Kansas Subscriber Answer: You [...]
Test your coding knowledge. Determine how you would code this situation before looking at the box below for the answer. Question: How should I report the following operative report for post-Mohs surgery reconstruction: "1. Reconstruction of Mohs defect right [...]
By Barbara Johnson, CPC, MPCConsulting EditorAnesthesia historically has been difficult to code and bill and still is. Issues such as inadequate information, improper use of diagnosis codes, and carriers who deny anesthesia services if the code does not match that [...]
Increase Diagnoses Coding Compliance with Medicare Transmittal and Manuals directives right at code level.