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Wiki screening versus diagnosis

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tuffy1

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I always coded a screening test when the patient does not have a confirm diagnosis. And if the patient is on medication for a confirm diagnosis then we did not code the lab work under screening, but under a definite diagnosis. We have someone trying to tell us, if a patient comes in for an annual physical - all lab work is put under V70.0, even if the patient has a confirm diagnosis and is under medication for it. Can I please have feed back on how to handle this or where to find the guidelines for it? Thanks
 
If the patient on current medication and your are performing lab for that medication this is drug monitoring which is V58.32 plus the V58.6- code for the drug (Z51.81 plus Z79.-). Several coding clinics have been written that verify this.
 
For annual physicals V70.0 is what I have alwas beem told to use as a diagnosis. However, since CMS has been putting out the quick reference quidelines on preventives. I have been using V70.0 V81.0 V81.2 V77.0 V77.1 V76.44.

Marcie
 
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