Other aftercare involving the use of plastic surgery (V51.8)

ICD-9 code V51.8 for Other 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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breast reconstruction

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 ]

Cigna denial for breast reconstruction

[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 ]

Aftercare coding

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 ]

CPT 19380 inconsistent with Dx 611.89 - I am getting denials from Humana

[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 ]

CPT 19380 inconsistent with Dx 611.89 - I am getting denials from Humana

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 ]

Tricare dx for nipple tattooing

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 ]

Audiology

There is no V code like V51.60. What exactly is the diagnosis?... [ Read More ]

Audiology

Can someone help me better define V51.60 Dispensing fee, binaural. Is this something truly usable or just a junk code? Thanks.:D... [ Read More ]

Help please! Need correct codes for this procedure!!

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 ]

Tissue expander w/Capsulotomy?

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