Forum - Questions & Answers

May 31st, 2011 - pvang 4 

Use of V58.6X codes


Can the ranges of codes V58.6X (Long-term (current) drug use) be used as the primary diagnosis code for both HCFA and UB claims? Most clinic billers/coders are stating that this dx range is only valid for Part A (UB) and not for Part B (HCFA). The supporting documentation used to support that V58.6X is NOT valid as a primary diagnosis code for all is from the American Hospital Association (AHA) Coding Clinic, 4th Qtr 2008, p 292. In this article it indicates that codes from category V58.6X is assigned as additional dx only.

Does anyone have an thoughts/further supporting documentations on this? Thanks in advance!


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Jun 1st, 2011 - jschmutz   323 

re: Use of V58.6X codes

Most likely, in an outpatient setting you would be seeing the patient and managing the patient's problem that is the cause of the drug, and the drug is secondary to the disease.

Example, patient has DVT and is on an anti-coagulant to manage the DVT. The patient is presenting to the provider for management of the anti-coagulant due to the DVT. It would be appropriate to for the primary diagnosis to be either DVT or V58.6x

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Jun 7th, 2011 - pvang 4 

re: Use of V58.6X codes

Thanks for the response. What would be the supporting documentations for this then? If you could point me in the right area that would be great! Thanks.

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