tci ED Coding & Reimbursement Alert - 2007 Issue 12

Reader Question: You Can Report V Codes As Primary -- Sometimes

Question: Please straighten something out for me. I have heard again and again that I should not use a V code as a primary diagnosis. But what if the emergency physician changes or replaces a gastrostomy tube? I can find no diagnosis other than V55.1 to support the service. Can I use the V code as primary in this case? Utah SubscriberAnswer: Assuming you can't use a V code as a primary diagnosis is a popular misconception. In fact, there are a number of circumstances in which it is not only appropriate but also necessary to report a...

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