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We'll tell you how to use 3 new V codes Physicians sometimes order lab tests to monitor patient response to medication - but your lab can't get paid without showing medical necessity. ICD-9-CM 2004 adds three new specific drug-use V codes you'll have to use according to CMS' National Coverage Determinations (NCD) and other guidelines. New ICD-9 codes Are More Specific Effective Oct. 1 ICD-9 added three new five-digit codes under V58.6x (Long-term [current] drug use). The new codes are:
"The biggest change you'll see is that many tests which you previously reported using the 'other medications' code V58.69 you'll now have to report with one of the new codes " says Anne Pontius MBA CMPE MT (ASCP) president of Laboratory Compliance Consultants Inc. in Raleigh N.C. "You should only report a 'not otherwise specified' ICD-9 codes if a more specific code is not available." Experts offer the following advice on using the three new codes accurately: 1. Use V58.64 for Aspirin and Other NSAIDs Although physicians previously ordered lab tests to monitor the effects of long-term NSAID use with V58.69 they should now report the more specific code V58.64. Physicians often prescribe NSAIDs for long-term inflammatory disease treatment and the drugs can cause blood thinning and stomach irritation. That's why CMS added V58.64 as a payable diagnosis to the fecal-occult blood test NCD. "If a physician orders a guaiac-based fecal blood test [82270 Blood occult by peroxidase activity (e.g. guaiac) qualitative; feces 1-3 simultaneous determinations] to evaluate possible stomach bleeding in a patient taking aspirin or Daypro for example the physician should use V58.64 as the ordering diagnosis " Pontius says. CMS also added V58.64 as a payable diagnosis to NCDs for the following tests: Blood glucose - 82947 - Glucose; quantitative blood (except reagent strip)
- 82948 - ... blood reagent strip
- 82962 - Glucose blood by glucose monitoring device(s) cleared by the FDA specifically for home use
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2. Report V58.63 for Antiplatelet Meds… For more read:-
http://www.supercoder.com/coding-newsletters/my-pathology-lab-coding-alert/how-to-get-paid-for-drug-monitoring-tests-article
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