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True or False: The diagnostic codes do not affect reimbursement from the insurance carriers? Explain and defend your argument.
Weegy: False. V codes are typically utilized when a problem is present that influences the patient's health status, but it is not in itself a current illness or injury. [ V codes can be used for a patient who is not sick, but is acting as a donor of an organ or tissue. V codes can also used for a patient with a known disease getting treatment, such as dialysis or chemotherapy. E codes are typically utilized to permit the classification of environmental events, circumstances and conditions as the cause of injury, poisoning and other adverse effects. E codes are used as an addition to the main ICD-9 codes. If you plan on incorporating V and E codes, I recommend purchasing a quality reference book that explains these codes in detail. V and E codes are not utilized that often in the typical chiropractic office. The diagnoses you choose represent your patient's condition to the insurance company and must be extremely accurate. If a patient presents to your office with severe low back pain, severe leg pain, constant leg numbness and foot drop, don't automatically assume and report disc involvement without a diagnostic test to substantiate it. Just because it "walks and talks" like a herniated disc doesn't mean it is a herniated disc. Additionally, a patient presenting with pain, numbness and tingling in the thumb, index and middle finger doesn't automatically mean it's carpal tunnel syndrome. If a herniated dis or carpal tunnel syndrome is reported without confirmation and consequently doesn't exist, it could hurt the patient's ability to get health insurance or employment in the future. Additional accuracy is needed when utilizing certain rehabilitation procedures. For example, if you plan on utilizing myofascial release (97140) on the shoulder, a soft tissue diagnosis such as 719.51 (shoulder stiffness) makes sense. ] (More)
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Asked 6/8/2011 6:38:53 PM
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