It is my understanding that if the CVA was treated in a hospital then 436 cannot be used in the SNF setting.....you would use the 438 ( Late effects of cerebrovascular disease) codes...438 requires 4 and/or 5th digits.
Yes, V codes may be used as primary codes. CMS has told the FI's to update their systems to accept V codes as primary.....use them and see if they work when billed as primary or call your FI to see if they now will accept them.
[EMAIL PROTECTED] wrote:
[EMAIL PROTECTED] wrote:
A couple of Questions for the group. I know we have discussed this before, but sometimes I just need reinforcement. Please and Thank you.Can 436 Acute, but ill-defined, cerebrovascular disease be use as a Primary diagnosis to skill a resident under Medicare part A if there is actual skilled care being given?Can V-Codes be used as a primary diagnosis if there is actual skilled care being delivered to the resident?Thanks group
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