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COURSE DESCRIPTION The proper use of ICD9-C-M V Codes is often a question for coders. To “V” or not to “V”? ICD9-CM provides codes to deal with encounters for circumstances other than a disease or injury. Classifications of factors influencing health status and contact with health service. (Supplemental V01-V84). This continuing education course describes the guidelines for the use of V Codes for specified encounters.

Rev 2.0 August 2008

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6. Understand the 4 primary circumstances for the use of V codes. identify the proper V code to assign Disclaimer The writers for NCCT continuing education courses attempt to provide factual information based on literature review and current professional practice. How to Locate V Codes and apply proper ICD9-CM coding rules. 5. 2 . Given case studies. Locate the V code tabular. 2.A. BS/RHIT Medical Programs Coordinator (Medical Coding Specialist and Medical Assisting Program West Virginia Junior College Morgantown.E. Understand the importance of the use of V Codes. ® Approved: _ Yes X No OBJECTIVES Upon completion of this continuing education course. 3. Understand the categories of V Codes. West Virginia Number of Clock Hours Credit: 1. the professional should be able to: 1.0 Course # 1221508 P. Garner. However. NCCT does not guarantee that the information contained in the continuing education courses is free from all errors and omissions. Learn the V codes that are designed as the principal diagnosis in specific situations. 7.COURSE TITLE: A Guide to Coding V Codes Author: Barbara A.C. 4.

V codes are often hard to locate in ICD9.. An individual who is not currently sick encounters health care services for a specific purpose. Certain V codes are designated as the principal (or first-listed) diagnosis in specific situations. e. such as to discuss a problem that is not a disease or injury. e.g. chemotherapy for malignancy. 4. V codes indicate a reason for an encounter. A problem or circumstance influences an individual’s health status but are not in themselves a current injury or injury. or problem that may affect health care.g. Newborns. 3. They are not procedure codes and a corresponding procedure code must accompany a V code to describe the procedure performed.INTRODUCTION The goal of all healthcare providers is to receive the optimal legal reimbursement for the services provided while coding to the highest specificity. health screenings. to indicate birth status. V codes are classified as follows: • • • • • • • • • • • V01-V09 V10-V19 V20-V29 V30-V39 V40-V49 V50-V59 V60-V69 V70-V82 V83-V84 V85-V85 V86-V86 Persons with potential health hazards related to communicable diseases Persons with potential health hazards related to personal and family history Persons encountering health services in circumstances related to reproduction and development Liveborn infants according to type of birth Persons with a condition influencing their health status Persons encountering health services for specific procedures and aftercare Persons encountering health services in other circumstances Persons without reported diagnosis encountered during examination and investigation of individuals and populations Genetics Body Mass Index Estrogen Receptor Status 3 . V Codes are for use in any healthcare setting. others are assigned as additional codes when it is important to indicate a history. There are four primary circumstances for the use of V codes: 1. An individual with a known current or resolving disease or injury encounters health care services for a specific treatment of that disease or injury. 2. status. V codes are used to deal with occasions when circumstances other than a disease or injury are recorded as “diagnoses” or “problem”. and there is a fear that payors will not accept them..

Index entries for V codes are included in the main Alphabetic Index. These are the key main terms to look under in the ICD9-CM index.LOCATING V CODES The format and conventions used throughout the main classification are also used in the indexes and tabular lists for the V code supplementary classification. as shown on the following pages. • Admission • Examination • History of (personal and family) • Observation • Encounter • Aftercare • Problem • Status • Long term use of medications • Screening • Follow-Up • Evaluation • Supervision of • Outcome of delivery • Procreative management • Cancellation of (Surgery not done) • Postpartum care • Suspected Condition • Counseling • Donor • Exposure/Contact • Investigation • Reaction to Certain V codes can be used only as a principal diagnosis or reason for encounter. others can be assigned as additional codes. 4 .

12 V56.0 Postpartum care & examination immediately after delivery V24.x Convalescence and palliative care Exception: V66.1x Live born infants according to type of birth Encounter for respirator dependence during power failure Aftercare involving extracorporeal dialysis Radiotherapy Encounter for antineoplastic chemotherapy & immunotherapy V58.6 Laboratory examination. V30-V39 V46.5 Radiological examination not elsewhere classified and V72. The following V codes and categories are acceptable only as the first listed code for either admission or outpatient encounter: V20 V22.x V70.1 V24 Health supervision of infant or child Supervision of normal first pregnancy Supervision of other normal pregnancy Postpartum care and examination V24. V59.0 V58.11 Encounter for antineoplastic chemotherapy V58.1 Postpartum care & examination of lactating mother V 24.0 V58.12 Encounter for immunotherapy for neoplastic conditions When both chemotherapy and radiotherapy are used during the same episode of care.x V71.0 and V58.2 Routine postpartum follow up Observation & evaluation of newborn for suspected conditions not found V29.x Encounters for administrative purposes General medical examination Observation and evaluation for suspected conditions not found Special investigations and examinations Exceptions: V72.11 may be assigned with either one being sequenced first.x Donors V66.1.0 V22. both codes V58.7 Palliative care V68. 5 .0 Observation for suspected infectious condition V 29 Exception: A code from the V30-39 may be sequenced before the V29 if it is the newborn record.x V72.

5 Sterilization status V27. incidental V26 Procreative Management V26.x Personal history of allergy to medicinal agents V15.82 V49.x Other postsurgical states Exception: Subcategory V45.x Artificial opening status V45.x Other dependence on machines Exception: V46.21 Fallopian insufflation V26.x Other personal history presenting hazards to health Exception: V15.69 Long term (current) drug use.7x V49. V09.22 Fully implantable artificial heart status V44. not carried out V66.g.x Housing.6x . aspirin therapy V60.2.x Constitutional state in development V22. Additional Only: Categories and subcategories that may be used only as additional codes. e.83 V58.x Organ or tissue replaced by other means Exception: V43.2 Procreative investigation & testing V26.61 Long term (current) use of anticoagulants V58.2 Pregnant state.x Persons encountering health services for specified procedures.x Infection with drug-resistant microorganisms V14.. cannot be the first listed.12 Encounter for respirator dependence during power failure Upper limb amputation status Lower limb amputation status Dental sealant status Awaiting organ transplant status Long term (current) drug use V58.7 Acquired absence of organ V46.x Other psychosocial circumstances V64.x Organ or tissue replaced by transplant V43.x Outcome of delivery Mother with a single liveborn V42.1 Artificial insemination V26.6x V49. and economic circumstances V62. household.7 Personal history of contraception V21.7x Encounter for palliative care V84 Genetic susceptibility disease 6 V49.

x Personal history of malignant neoplasm V10.x-V19.x Supervision of high-risk pregnancy V25.x Contact with or exposure to communicable disease V02.x Family history of disease V23.5 Sterilization Antenatal screening Organ or tissue replaced by other means V43.4 Personal history of arthritis and V13.x Encounter for dialysis and dialysis catheter care Exception: V56.69 Personal history of other congenital malformations.3.x Need for prophylactic vaccination and inoculations V07.x Fitting and adjustment of prosthetic device and implant of devices V52.7 Postsurgical acquired absence of organ V49.x Other orthopedic aftercare V54.2 Sterilization V26.x Carrier or suspected carrier of infectious diseases V03.0 Tuboplasty or vasoplasty after previous sterilization V26.x Asymptomatic HIV infection status V10.22 Heart replaced by fully implantable artificial heart V45 Other postprocedural states V45.21 Fertility testing Exception: V26.0 Aftercare involving extracorporeal dialysis V57.x Need for isolation and other prophylactic measures V08.x Attention to artificial openings V56.1 Fitting and adjustment of artificial leg (complete) (partial) V53.x Elective surgery for purposes other than remedying health status V52.9 Unspecified orthopedic aftercare V55.89 Other orthopedic aftercare V54. First or Additional: Categories or subcategories that may be used either as first or additional codes: V01.01 General counseling on prescription of oral contraceptives V25. V16.09 Other general counseling and advice on contraceptive management V25.x Procreative management V 26.x Encounter for contraceptive management V25.x Personal history of other diseases Exception: V13.x-V06.x Personal history of certain other diseases V13.x Care involving use of rehabilitation procedures V28.x Fitting and adjustment of other device V54.43 Personal history of malignant neoplasm of ovary V12.81 Postmenopausal status (age related) (natural) V50.x V43 7 .

x Problems related to style V70.31 Encounter for change or removal of surgical wound dressing V58.x Unavailability of other medical facilities for care V65.0 Routine general medical examination at a health care facility V70.11.83 Encounter for therapeutic drug monitoring V61. The aftercare V code should not be used if treatment is directed at a current. Encounter for antineoplastic chemotherapy (chemotherapy).1 General psychiatric examination requested by the authority V70. upper inner quadrant. acute disease or injury.1 may be used together on a record with either one being sequenced first.7 Aftercare following surgery to specified body systems. not elsewhere classified V58. Exception to this rule is Codes V58.8 Other specified general medical examinations V73x-V82. Example: Encounter for chemotherapy.x Special screening examination V82.81 Special screening for osteoporosis V82.x After family circumstances V63.0 and V58.x Genetic carrier status Aftercare visit codes cover situations when the initial treatment of a disease or injury has been performed and the patient requires continued care during the healing or recovery phase. The current condition would be coded in this case.x Other persons seeking consultation without complaint or sickness V67.x Follow-up examination V69.7 Examination of participant in clinical trial V70. Should the patient receive both chemotherapy and radiation therapy during the same encounter code V58. or for the long term consequences of the disease.Attention to surgical dressings and sutures V58.89 Special screening for other specified conditions V83. V58. chemotherapy. These codes are to be listed followed by the diagnosis code when patient’s encounter is solely to receive radiation therapy or chemotherapy for the treatment of a neoplasm.4 Other specified aftercare following surgery V58.0 Encounter for radiotherapy and V58. breast carcinoma.3 8 .30 Encounter for change or removal of nonsurgical wound dressing V58.

AND OTHER INDICATIONS FOR CARE IN PREGNANCY. rotation version] or instrumentation [forceps] of a spontaneous.0 183 Malignant neoplasm of ovary and other uterine adnexa. if applicable (731.8) • 183.3) Open wound of elbow. without fetal manipulation [e.0-099. with or without mention of antepartum condition 2 delivered.0 Ovary Chronic kidney disease.2). Excludes: Douglas' cul-de-sac (158. unspecified Chronic renal disease Chronic renal failure NOS Chronic renal insufficiency 733.00 650 NORMAL DELIVERY. Use additional code to indicate outcome of delivery (V27. vaginal.00 585. Nocardia. full-term. with mention of postpartum complication 3 antepartum condition or complication 4 postpartum condition or complication 650 Normal delivery Delivery requiring minimal or no assistance. Streptomyces. maduromycosis (actinomycotic).9) bartonellosis (088.4] Atony of uterus with hemorrhage Hemorrhage within the first 24 hours following delivery of placenta Postpartum atony of uterus with hemorrhage Postpartum hemorrhage (atonic) NOS Excludes: atony of uterus without hemorrhage (661..2. with or without episiotomy.14 Description COMPLICATIONS OCCURRING MAINLY IN THE COURSE OF LABOR AND DELIVERY (660-669) The following fifth-digit subclassification is for use with categories 660-669 to denote the current episode of care: 0 unspecified as to episode of care or not applicable 1 delivered.9 Of unspecified site Actinomycosis NOS Maduromycosis NOS Nocardiosis NOS Code 666.g. forearm.1 Other immediate postpartum hemorrhage [0.0) 039 Actinomycotic infections Includes: actinomycotic mycetoma infection by Actinomycetales. with mention of postpartum complication 3 antepartum condition or complication 4 postpartum condition or complication 666. LABOR. This code is for use as a single diagnosis code and is not to be used with any other code in the range of 630-676.9 Description OTHER BACTERIAL DISEASES (030-041) Excludes:bacterial venereal diseases (098.0) 9 . Actinomadura. single.8) Osteoporosis Use additional code to identify major osseous defect. and wrist The following fifth-digit subclassification is for use with 881: 0 forearm 1 elbow 2 wrist 881. live born infant.ICD-9-CM CODES USED IN TEST QUESTIONS Code 39. cephalic. such as species of Actinomyces. postpartum atony of uterus without hemorrhage (669. with or without mention of antepartum condition 2 delivered. AND DELIVERY (650-659) The following fifth-digit subclassification is for use with categories 651-659 to denote the current episode of care: 0 unspecified as to episode of care or not applicable 1 delivered. schizomycetoma (actinomycotic) 039.9 881.0 without mention of complication 183.

00 3. a. 585.89 c. 183. V58. a. V54. V52. Patient admitted for chemotherapy following oophorectomy on previous admission for carcinoma of the ovary.183. V56.9 b. Code the correct V code for the following questions and additional ICD9 DIAGNOSIS CODES ONLY. V10. a. 1.0 c.1 10 . V56.11. 585. Encounter for removal of cast. V54. a.0 c. read the instructions on how to correctly complete the answer sheet.9 b. 39.3 b. V58. 881. Patient seen in the physician’s office for removal of sutures from healed open wound of the forearm. then select Updates/Revisions to see if course content and/or a test question have been revised.com and select Renewal/CE. Encounter for renal dialysis for patient with chronic kidney disease. If you are having difficulty answering a question. Select the response that best completes each sentence or answers each question from the information presented in the module. 585. V58.11. V56. unspecified hemodialysis.0 b.0.9.0 c.9 4. cast removal. go to www.9.43 2.ncctinc.TEST QUESTIONS Guide to Coding V Codes Course 1221508 Directions: Before taking the test.

2 7. a.5. A female patient undergoes fertility testing by fallopian insufflation. V24. Visit to physician for routine postpartum exam.2 10. V29. V70. V58.0 b. The patient is on anticoagulant and the physician orders a prothrombin time (PT) to be performed in the outpatient department. V26. no complications were noted.89 8.0 *End of Test* 11 .8 9.09 b. V25.61 b. V58. Visit to physician’s office for prescription of birth control pills.0 b. Routine general medical examination a.81 c.1 c. V25.61 c. V26.2 c. a. V24. V58.83. a.00 b. V27.14. V70.0 c.01 c. 733. V82. a.21 b. V70. V58. 666. 650.69 6. V82. Screening for osteoporosis a. V25.

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