Download Chapter 2 Supplementary Classification

Chapter 2
Supplementary Classification:
V Codes
V Coding
• V codes are sometimes used in the inpatient
setting but more frequently are used in
outpatient settings such as physicians’ offices,
clinics, or outpatient hospital departments.
A Few Scenarios for Using V Codes
• A person who is currently well uses health
services for a purpose such as acting as a donor
or receiving prophylactic vaccination.
• A circumstance or problem influences the
patient’s current illness or injury but is not in
itself a current illness or injury.
• A person with a known disease or injury uses the
healthcare system for specific treatment of that
disease or injury.
V codes are indexed in the Alphabetic Index to Diseases with
other diagnoses and reasons for health services.
Main terms used to locate V codes may not be easy to locate.
• V codes are indexed in the
Alphabetic Index to Diseases
with other diagnoses and
reasons for health services.
• Main terms used to locate V
codes may not be easy to
locate.
• Admission
• Aftercare
• Attention to
• Boarder
• Care (of)
• Carrier (suspected)
• Checking
• Contact
• Pregnancy
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Contraception
Convalescence
Counseling
Dependence
Dialysis
Donor
Examination
Exposure
Fitting (of)
Follow-up
Health
Healthy
History
Maintenance
Maladjustment
Newborn
Outcome of Delivery
V01–V06, V07-V09, V10-V19, V20-V29
• V01-V06
• Patient has come in contact with, or
has been exposed to, a
communicable disease and is need
of vaccination and inoculation
against a disease.
• V07-V09
• V07 is used to describe encounters
for prophylactic treatment.
• A commonly assigned code in this
section is V09, which identifies
infection with drug-resistant
organisms.
• V09 is always used as an additional
code
• V10-V19
• Commonly assigned codes include
V10–V15 for personal history of
various conditions and V16–V19 for
family history of various conditions.
• These codes are typically assigned
as additional codes to fully describe
a reason for encounter.
• V20-V29
• This section includes codes that
describe supervision of normal and
high risk pregnancy, supervision or
care of an infant, postpartum care,
contraceptive management and
surveillance, sterilization,
procreative management, outcome
of delivery, and antenatal screening.
V22, Normal Pregnancy
• V22.0, Supervision of normal first pregnancy
• V22.1, Supervision of other normal pregnancy
• If a complication is present in the pregnancy, assign
the code for that condition instead of the V22
category.
• V22.2, Pregnant state, incidental, is assigned as an
additional code only if a pregnant patient was seen
for a reason unrelated to the pregnancy.
• The physician must indicate that the condition is not
complicating the management of the pregnancy or the
pregnancy itself.
V23, High-Risk Pregnancy
V24, Postpartum Care and Examination
• V23
• Provides information on conditions that may add risk to
the present condition
• May be a first-listed code or an additional code
• Can be found in the Alphabetic Index under “Pregnancy,
supervision (of) (for)” or “Pregnancy, management
affected by”.
• V24
• Primarily used in the physician’s office for
uncomplicated follow-up during the postpartum period
V25, Encounter for Contraceptive
Management
• Indexed under “Contraception, contraceptive”
• Used to describe general contraceptive
counseling and advice, insertion of intrauterine
contraceptive device, menstrual extraction,
encounter for emergency contraceptive
counseling and prescription, and surveillance of
previously described contraceptive methods
V26, V27, V28, V29, V30
• V26
• Codes in this category are used
to describe services related to
genetic testing and infertility,
reversal of previous tubal
ligation or vasectomy, artificial
insemination, investigation and
testing, genetic counseling and
testing, and procreative
counseling and advice.
• V27
• Used on a mother’s health
record to indicate whether the
baby born was single or multiple
birth; liveborn or stillborn.
• V28
• Encounter for antenatal screening
of mother. Used to describe
mother and not fetus
• V29
• Observation & Evaluation of
newborn. Used for a newborn or
infant less than 28 days when a
suspected condition is ruled out
or proven not to exist after
observation and examination
• Can be used as a first-listed or
additional-listed code
• V30
• Newborn infants. Index entry is
“Newborn.” Identifies all types of
birth.
V40–V49, Person with a Condition
Influencing Their Health Status
• These codes are intended for use when the
conditions are recorded as “diagnoses” or
“problems.”
• Typically listed as additional diagnoses
• Indexed under “Status (post)”
V50–V59, Persons Encountering Health Services for
Specific Procedures and Aftercare
• Main terms include “Admission (encounter)
for,” “Aftercare,” “Attention to”
• Commonly used categories:
o V56: includes codes that describe encounters for
dialysis, dialysis catheter care, and adequacy
testing for dialysis
 Indexed under “Dialysis”
V60–V69, Persons Encountering Health
Services in Other Circumstances
• Includes a variety of codes to identify other
circumstances in which patients would seek
healthcare
• Commonly used categories:
o V67, Follow-up examination
 Subdivided by the type of completed treatment
 Index entry may be “Follow-up,” “Admission
(encounter), for, follow-up examination.”
 V67 indicates surveillance only, no treatment
V70–V82, Persons without Reported Diagnosis Encountered
During Examination and Investigation of Individuals and
Populations
• For non-routine tests done to evaluate a sign, symptom,
or diagnosis during the same encounter as a routine
laboratory/radiology testing code both the V-code and
the code describing the reason for the non-routine test
• Code from category V72 is assigned as the reason for the
encounter only when no problem, diagnosis, or
condition is identified as the reason for the examination.
• For non-routine tests done to evaluate a sign, symptom,
or diagnosis during the same encounter as a routine
laboratory/radiology testing code both the V-code and
the code describing the reason for the non-routine test
V83–V84, Genetic Carrier Status &
Genetic Susceptibility to Disease
• Codes in Category V83 are intended to describe
a patient who is known to carry a particular gene
that could cause a disease to be passed on to his
or her children.
• Codes in Category V84 are intended to describe
a patient who has a confirmed abnormal gene
that makes that patient more susceptible to a
particular disease.
V85, BMI
• The body mass index (BMI) is the first
determination of a patient’s weight in proportion
to height
V86-V89
• V86: Estrogen-receptor status
• V87: Other specified personal exposures and
history presenting hazards to health
• V88: Acquired absence of other organs and
tissue
• V89: Other suspected conditions not found