Wiki 99395 denied due to V code

[coders_rock!]

Good morning,

My Dr. was denied 99395 because he used V20.2 as a primary Dx. I thought you can use the V code when billing 99395.. Can someone please help me understand?

 

[mitchellde]

I do not have my book right now but isn't 99395 for ages 18-39? If so and your patient is in this age range then you have to use the V70.0 as they are considered an adult, and V20.2 is age adjusted for 0-17 if you look in your ICD-9 Book.