DecisionHealth, DecisionHealth - 2012 Issue 3 (March)

Diagnosis Coding Corner: Use two V-codes for HRT-controlled menopausal symptoms

Question: What diagnosis code would you assign for patients who are menopausal and have had menopausal symptoms prompting hormone replacement therapy (for example, when coding for a DEXA bone density scan)? Because the patients are on HRT, they now are asymptomatic. Some coders in our office say that since these patients are not having any symptoms, even though they are on hormones for this reason, these patients should be coded as the V49.81 (asymptomatic postmenopausal status [age related] [natural]). However, that is not always a payable code for DEXA.

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