Wiki PVD Question - Medicare Advantage

[OregonCoder]

I am coding a ED report, and on of the boxes are marked under the PMH for PVD. Would I code this with a V code (non HCC) or the 443.9 code? They aren't addressing this issue at the time, just chest pain, but I have had several ppl tell me different answers if this can be picked up or not. What about AAA in the same place as the above senario? Thanks in advance!

 

[acanny1]

AAA and PVD

You are not going to be able to capture the hcc as it has not been evaluated and treated. All hcc need to have a MEAT . The only hcc you can capture from PMH are DM, MI and Alzheimer's as they are chronic conditions.

 

[OregonCoder]

Thanks, that is what I thought, but wanted to clarify. Also, Alzheimer's isn't an HCC, but maybe you meant Parkinson's? Thanks again!!