tci Part B Insider - 2007 Issue 4

PART B MYTH BUSTER: Don't Let "Unacceptable" List Scare You Away From "V" Codes

Mistake: Listing preop "V" codes as primary without including secondary diagnosisMyth: You can never use -V- codes from Medicare's -unacceptable principal diagnosis- edit list as a primary diagnosis.Reality: This edit list applies for inpatient Medicare coding only, says Jeffrey Linzer, Sr., associate medical director for compliance and business affairs at EPG--Children's Healthcare of Atlanta at Egleston. Medicare limits many -V- codes to secondary status for inpatient coding because most -V- codes don't describe the patient's current illness or injury--which is almost certainly the reason for inpatient status.Exception: Part B carrier Empire Medicare Services says in a Sept...

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