Forum - Questions & Answers

Mar 3rd, 2011 - jrod0728

Using V45.89 as a primary diagnosis

I work for a large physicain group so we are billing all outpatient encounters/visits. I understand that V45.89 is not appropriate as a primary/prinipal diagnosis for inpatient billing but what about for office visits?

Could you please include your references also?

Thank you,

Jennifer Rodriugez
RHIT, CCS-P, CPC

Mar 4th, 2011 -

can you give an example?

The surgeon could use it if you are in the global period and know there is no reimbursement coming. The problem is that most payors will see that as bundled and not want to pay any provider, even the Primary care doc, if that is all they address.



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