Tammy Posted Thu 01st of August, 2013 20:06:03 PM
One of our docs had our research coordinator do an ECG on a patient with a diagnosis of "domperidone initiation". What is the diagnosis for this. I have am unable to find a code that I think accurately fits this.
SuperCoder Answered Mon 05th of August, 2013 02:31:20 AM
There is some evidence that domperidone is cardiotoxic, so presumably this is a baseline ECG for the staff to use as a comparison when determining whether use of the drug affects the patient’s heart.
ICD-9 Coding Clinic (2004 Vol. 21 No.1) says to use V72.85 (other specified exam) for a cancer patient who needs baseline MUGA before starting chemo. It also says to assign the malignancy as an additional dx. V81.0 or V81.2 may also be appropriate with the condition being treated listed as a secondary diagnosis.Payers often consider these to be non-reimbursable screenings.