Wiki Coding Aftercare with new injury

[LLRodgers]

Hello,

Can anyone tell me on how to code the following:

Patient had right distal biceps repair 4/24/2014 - out of global period

Patient comes in for a follow up - Diagnosis - Rt distal biceps repair with postoperative de Quervain's Tenosynovitis

Do I code an aftercare code along with the de Quevain's Tenosynovitis or do I just code the de Quervain's Tenosynovitis

Any help is appreciated!

Thank you and have a great day!

LInda

 

[dclark7]

It would depend on the documentation in the note, was the purpose of the visit focused on the de Quervain's or were both areas examined and included in the MDM?

 

[amicotaylor]

V67.00 Is used for Examinations out of the global period. You can use the 727.04 as your primary if that was the focus of the visit, and the V-code as a secondary dx.

 

[LLRodgers]

Thank you for the information, the focus of the visit was the followup status post right distal biceps repair.

So would I code the followup as the primary code and then 727.04 second?

I am fairly new with coding and was not sure putting the V code first with a diagnosis code.

Should I be coding the reason for the visit first?

Thank you!
Linda