The V58.42 can be used as the principle diagnosis followed by personal history of CA of the breast. However, you did not mention that the Mastectomy was secondary to CA of the breast. The note at the bottom of the page states" These V codes are acceptable as principal diagnosis when accompanied by a diagnosis of personal history of malignancy. In this case it would be V10.3. If the mastectomy was non-malignancy, it would be aftercare following surgery of the skin and subcutanenous tissue. 680-709 - Breast is in the 680.2 code.
Susan, RHIA
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Friday, December 19, 2003 1:19 PM
To: [EMAIL PROTECTED]
Subject: RE: ICD-9 code
Check V58.42 which indicates coverage if coded also in
140-239. Then I located 174.8 and 174.9, whichever is most applicable. V
codes are aftercare codes and can-sometimes-be the main/first ICD-9 code
used for billing for Medicare A coverage. Looking at V58.49, "Other
specified aftercare following surgery", I'm wondering if these codes would
work: 174.8 (or 174.9, whichever is best); V58.42; and, V58.49. I am not a
coding expert, but I offer this to you.
Jane Craven, RN, C.
Sr. Consultant, Nursing Services
Tendercare (Michigan) Inc.
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Holly Sox, RN, RAC-C
Sent: Friday, December 19, 2003 12:18 PM
To: [EMAIL PROTECTED]
Subject: Re: ICD-9 code
Libby,
ICD 9 Codes are for medical diagnoses, not
procedure codes. You are describing a medical procedure. You could code for
seroma (or whatever, the MD called the fluid collection that necessitated
the aspiration) but there is no need (that I am aware of) to code the
actual procedure anywhere.
Holly F. Sox, RN, RAC-C
Clinical Editor
www.careplans.com <http://www.careplans.com>
[EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
----- Original Message -----
From: Libby Cawthorn
<mailto:[EMAIL PROTECTED]>
To: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
Sent: Friday, December 19, 2003 12:14 PM
Subject: ICD-9 code
How would you code needle aspiration of
fluid from post-op mastectomy site performed by physician in room. My
software will not allow me to enter any code (the one I chose is 85.91) with
less than 3 digits to left of decimal point?
Libby
Libby Cawthorn, RN
Director/MDS Coordinator SNF
TJ Samson Community Hospital
1301 N. Race Street
Glasgow, Ky. 42141-3483
Fax# 270-651-4786
Phone# 270-651-4783
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