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Internal Medicine Coding Alert

Reader Question:

Use V65.40 or V65.49 for A Visit to Discuss Lab Tests

Question: A patient would like to schedule an appointment with her physician to review lab results with her. We already know that her labs were normal. What diagnosis should we report in conjunction with the visit?

Arkansas Subscriber

Answer: Your best option looks like V65.40 (Other counseling, not elsewhere classified; counseling NOS) or V65.49 (Other counseling, not elsewhere classified; other specified counseling). Include documentation showing her request for the visit and the things your physician discusses with her. 

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