tci Part B Insider - 2006 Issue 4
PATHOLOGY: Invest In V Codes For Better Payment Odds
The proof is in the medical necessity or patient historyIf you think V codes only provide supplemental information, think again. In fact, they are key elements to successful claims. Here are two examples in which V codes can turn a potential denial into payment. Scenario #1: A patient taking Celebrex for her arthritis and needs to have her liver and kidney functions monitored to ensure the drug isn't causing problems. The patient, who is otherwise healthy, undergoes lab tests every few months to monitor kidney and liver functions. V code to the rescue: Report a V code that shows...
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