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Is anyone using CPT code V58.69?

Discussion in 'Pain Medicine' started by spinepain, Apr 30, 2008.

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  1. spinepain

    spinepain Junior Member

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    I have been asked to add this code to clinic followup visits when long term opioid medications have been prescribed.

    LONG-TERM CURRENT USE OF OTHER MEDICATIONS (V58.69) - USE FOR PATIENTS ON HIGH RISK MEDICATION

    Does anyone have experience with this code? Is it appropriate to use it for monthly "medication refill "visits? This is one I haven't seen before.
    Thanks.


    2006 ICD-9-CM Diagnosis V58.6

    Long-term (current) drug use
    View the most recent version of ICD-9-CM V58.6

    V58.6 is a non-specific code that cannot be used to specify a diagnosis
    View the ICD-9-CM Volume 1 V58.* hierarchy

    V58.6 Excludes
    drug abuse (305.00-305.93)
    drug dependence (304.00-304.93)
    hormone replacement therapy (postmenopausal) (V07.4)
  2. tchoupdoc

    tchoupdoc attending

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    You mean icd-9 code, right?

    From what I understand, the V codes are to define clinical concerns, but not medical diagnoses. Malingering, for instance, has a V-code.

    Concern for using this with a cpt for reimbursement is that it might get thrown out because by definition it doesn't describe a medical diagnosis.

    It might help some statistician from CMS to see how many of us are worried about dangerous drugs, if we used it as a secondary code.
  3. spinepain

    spinepain Junior Member

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    Yes, ICD 9 not CPT. Sorry.
  4. Mister Mxyzptlk

    Mister Mxyzptlk

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    Try billing Medicare for a pump refill w/o using V53.02.
  5. tchoupdoc

    tchoupdoc attending

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    If you say so, I believe it. I don't do pumps.

    However, I tried med refills with this as primary, and the auditors from university billing advised me as I said above.

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