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No More V-codes Now What? Take a look at V20.2

By:  Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
Published:  September 25th, 2015

V-codes will be a part of the past, you will be using encounter codes with ICD-10-CM.

Lets take a look at how you will code V20.2 Routine infant or child health with ICD-10-CM. 

ICD-10-Cm will now use Z-codes which represent the reason for the encounter.  If a procedure is performed, you must use a corresponding procedure code. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:

(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.

(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

There are two choices that replace V20.2, you will need to document and code the encounter with or without abnormal findings.

Code

Description

Z00.121 

Encounter for routine child health examination with abnormal findings

Z00.129 

Encounter for routine child health examination without abnormal findings

NOTE: You will also need an additional code to identify abnormal findings if you use

Z00.121 

Encounter for routine child health examination with abnormal findings

Excludes 1 -These codes do not include the following:

  • Health check for child under 29 days old
  • Health supervision of foundling or other healthy infant or child,  
  • Newborn health exams or
  • Encounter for Examination for Administrative purposes
  • Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.

Excludeds2 states the below conditions is not a part of the condition, but you may use an additional code to identify tow applicable conditions, such as

  • encounter for pre-procedural examinations (Z01.81-)
    special screening examinations (Z11-Z13

References:

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