Tag Archives: secondary diagnosis
Posted on 03. Jan, 2011 by dchandhok.
Question: Many of our ophthalmology patients claim general reasons for their visit, such as “I can’t see well,” or “My vision is foggy.” We code these visits with 368.8 as the primary diagnosis because this is the primary reason for the visit. Any other problems or underlying causes of the blurry vision we report as secondary diagnoses. Is 368.8 the most appropriate code to use in these situations, and should we list it first?
Answer: You should only report 368.8 (Other specified visual disturbances) as a primary diagnosis code when the ophthalmologist doesn’t find a more definitive diagnosis during the course of the visit.
Carriers often consider a visit for blurred vision the same thing as a routine exam — and Medicare will not pay for this service.
Primary vs. secondary: Whenever possible, you should list a more definitive diagnosis as primary and then the patient’s complaint of blurred vision as secondary. For example, if the ophthalmologist discovers that a cataract is causing the patient’s blurry vision, you would first list
Posted on 08. Apr, 2009 by .
V codes alone may not have the power to bring in reimbursement, but under certain circumstances you may need to use them as secondary or tertiary codes to illustrate to the payer why your physician performed — and should be reimbursed for — a given procedure.
For instance, if a physician sees a patient who needs a hearing aid adjustment, the physician may use V53.2x (Fitting and adjustment of other device; hearing aid) to describe the encounter.