Chapter 8 V and E codes

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Chapter 8V and E codes

• HIM 207

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Locating V codes

• Admission
• History
• Observation
• Follow-up
• Etc., (see your text)

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• Review the V Code Table in your text
• This table indicates which V codes
• can only be sequenced 1st
• Can only be sequenced 2nd
• Can be sequenced 1st or 2nd

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V 51-58 Admission for Aftercare Management

• Patient is admitted for the removal of a
  prosthetic device

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Aftercare V-Codes

• Used when treatment for the original illness or
  injury is complete, but . . .
• The patient requires further care during the
  healing or recovery phase

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• Aftercare codes are not assigned when treatment
  is directed at the acute illness or injury
• Exception Dialysis, Chemotherapy and Radiotherapy

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V57 - Rehabilitation

• V57 code is sequenced 1st
• Condition requiring rehab. Is sequenced 2nd

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V 67 Admission for Follow-up Examination

• Pt. has been taking Fen-Phen for past 6 months.
  Pt. stopped drug 2 weeks ago and wants to rule
  out any adverse effects that could be possible
  from the drug.

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Follow Up V-Codes

• Used when patient is admitted for follow-up after
  the initial treatment of a disease or injury has
  been completed.

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Follow-up codes include

• Following surgery
• Following radiotherapy
• Following chemotherapy
• Following psychotherapy, other mental disorder

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• Following treatment of healed fracture
• Following other treatment
• High-risk medication
• Following combined treatment

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• Selection of the follow-up code is based upon the
  patients most recent treatment modality

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• If a recurrence, extension or related condition
  is identified, that condition should be assigned
  as principal diagnosis
• Do not assign code V67

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• Review each example in your text

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V 71 Admission for Observation and Evaluation

• Patient was involved in a car wreck and was
  brought to the hospital for possible head injury.
  No injury was found.

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Observation V- Codes

• Patients without a diagnosis are suspected to be
  at risk for an abnormal condition, but after
  evaluation, neither the suspected condition nor
  an alternative is identified
• AND

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• No additional evaluation or treatment is required
  at the current level of care.

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• When a related condition is identified, the code
  for that condition is assigned.
• No V71 code would be assigned.

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• If the patient has symptoms related to the
  suspected condition and the suspected condition
  is ruled out, code the symptoms. Do not code
  V71.

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• V71 is usually assigned as a solo code. Two
  exceptions
• Chronic conditions requiring care during the
  admission (diabetes, hypertension, COPD, etc.)
• Minor injuries which would not have required
  inpatient admission

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• Following accident at work

• Suspected mental disorder

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V 66.7 Admission for Palliative Care

• Used for patients who are in the terminal phase
  of an illness.

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• End-of-life care, hospice care
• It cannot be used as a principal diagnosis (or it
  cannot be sequenced 1st)

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V 73- V82 Screening Exams

• Patient with family history of breast cancer
  undergoes routine mammography.

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Screening V-Codes

• Screening is performed on patients who present no
  signs or symptoms relative to the disease.

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• If a condition is discovered during screening,
  then the code for the condition may be used as an
  additional diagnosis code.
• Coding Clinic Fourth Quarter, 2001

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V 10- V 15 Personal History of a previous
condition

• Patient has a personal history of prostate
  cancer 2 years ago.

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• When the condition is still present or still
  under treatment, or if a complication is present,
  do not assign a code from V10 V15

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V 16- V19 Family History of a condition

• Patient has a family history of hypertension.

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V40- V49 Health Status that may effect patient
stay

• Continuing condition or health status

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History ,Status and Problems

• These V-codes are used only when they may
  influence the patients stay or the health care
  that they receive.
• Terms status post are used frequently to
  describe these problems