Can I use a V-code as a primary diagnosis when coding a claim?
A. No. Refer to the “V” codes section of the ICD-9-CM book, which states that this is a supplementary classification of factors influencing health status. As this is a supplementary code, it should not be the one selected for use as the primary or admitting diagnosis. Q. The claims/service area receives a request for hard-copy adjustment to a previously medically denied claim. Included in the request is a statement regarding “changing diagnosis” on the original claim. How should this be handled? A. The Fiscal Intermediary cannot accept hard-copy records for adjustments to MR denials. If the provider wishes to appeal, the request must be in writing to the MR department. A letter requesting the appeal and the supporting medical records should be mailed to the Appeals Coordinator. The request must be timely (At the present time, the request for outpatient The request must be timely (At the present time, the request for outpatient original denial.). Requests for hard-copy adjustments on pr
