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[lwduley]

When billing post op management servicers should the dx code from the surgery be the dx code used for the post op visit?

Thank you

 

[smarcolina]

I have used the DX from the Sx and was paid.

 

[lwduley]

Thank you

 

[mitchellde]

you do NOT use the dx from the surgery, that condition does not exits anymore, you use a V code for either follow up or aftercare. Just because you received payment is no indicator of correct coding. If you performed a cataract removal then there is no more cataract in that eye.

 

[lwduley]

I have a ins. that does not like the V codes saying due to NCD. I thought the same thing, the cataract does not exist.

 

[mitchellde]

The V code is correct. You will need to convince them of that, To say it is due to NCD makes no sense since it IS medically necessary to follow up from a surgical encounter. We do not code to satisfy a payers wants. We code for the documentation provided.