What diagnosis code do we report for a child behind on immunizations?
Report V15.89, other specified personal history presenting hazards to health. If the patient receives a vaccine(s) during the visit, report V15.89 secondary to the vaccine-specific International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code(s).
How do you code an established office visit for a child who was in an automobile accident but is fine and has no complaints? The mother just wants the child “checked out.”
The office visit would be reported based on the performance and documentation of 2 of the 3 key components (history, physical examination, medical decision making). Because there were no specific complaints or findings, the diagnosis codes reported would be V71.4, observation following other accident, as the primary code and E819.1, motor vehicle accident or traffic accident of unspecified nature, as the secondary code.
What code should be reported...