Chapter 2 Supplementary Classification:

1. Chapter 2Supplementary Classification: V Codes

2. V Coding • V codes are sometimes used in the inpatient setting but more frequently are used in outpatient settings such as physicians’ offices, clinics, or outpatient hospital departments.

3. A Few Scenarios for Using V Codes • A person who is currently well uses health services for a purpose such as acting as a donor or receiving prophylactic vaccination. • A circumstance or problem influences the patient’s current illness or injury but is not in itself a current illness or injury. • A person with a known disease or injury uses the healthcare system for specific treatment of that disease or injury.

4. V codes are indexed in the Alphabetic Index to Diseases with other diagnoses and reasons for health services.Main terms used to locate V codes may not be easy to locate. • V codes are indexed in the Alphabetic Index to Diseases with other diagnoses and reasons for health services. • Main terms used to locate V codes may not be easy to locate. • Admission • Aftercare • Attention to • Boarder • Care (of) • Carrier (suspected) • Checking • Contact • Pregnancy • Contraception • Convalescence • Counseling • Dependence • Dialysis • Donor • Examination • Exposure • Fitting (of) • Follow-up • Health • Healthy • History • Maintenance • Maladjustment • Newborn • Outcome of Delivery

5. V01–V06, V07-V09, V10-V19, V20-V29 • V01-V06 • Patient has come in contact with, or has been exposed to, a communicable disease and is need of vaccination and inoculation against a disease. • V07-V09 • V07 is used to describe encounters for prophylactic treatment. • A commonly assigned code in this section is V09, which identifies infection with drug-resistant organisms. • V09 is always used as an additional code • V10-V19 • Commonly assigned codes include V10–V15 for personal history of various conditions and V16–V19 for family history of various conditions. • These codes are typically assigned as additional codes to fully describe a reason for encounter. • V20-V29 • This section includes codes that describe supervision of normal and high risk pregnancy, supervision or care of an infant, postpartum care, contraceptive management and surveillance, sterilization, procreative management, outcome of delivery, and antenatal screening.

6. V22, Normal Pregnancy • V22.0, Supervision of normal first pregnancy • V22.1, Supervision of other normal pregnancy • If a complication is present in the pregnancy, assign the code for that condition instead of the V22 category. • V22.2, Pregnant state, incidental, is assigned as an additional code only if a pregnant patient was seen for a reason unrelated to the pregnancy. • The physician must indicate that the condition is not complicating the management of the pregnancy or the pregnancy itself.

7. V23, High-Risk PregnancyV24, Postpartum Care and Examination • V23 • Provides information on conditions that may add risk to the present condition • May be a first-listed code or an additional code • Can be found in the Alphabetic Index under “Pregnancy, supervision (of) (for)” or “Pregnancy, management affected by”. • V24 • Primarily used in the physician’s office for uncomplicated follow-up during the postpartum period

8. V25, Encounter for Contraceptive Management • Indexed under “Contraception, contraceptive” • Used to describe general contraceptive counseling and advice, insertion of intrauterine contraceptive device, menstrual extraction, encounter for emergency contraceptive counseling and prescription, and surveillance of previously described contraceptive methods

9. V26, V27, V28, V29, V30 • V26 • Codes in this category are used to describe services related to genetic testing and infertility, reversal of previous tubal ligation or vasectomy, artificial insemination, investigation and testing, genetic counseling and testing, and procreative counseling and advice. • V27 • Used on a mother’s health record to indicate whether the baby born was single or multiple birth; liveborn or stillborn. • V28 • Encounter for antenatal screening of mother. Used to describe mother and not fetus • V29 • Observation & Evaluation of newborn. Used for a newborn or infant less than 28 days when a suspected condition is ruled out or proven not to exist after observation and examination • Can be used as a first-listed or additional-listed code • V30 • Newborn infants. Index entry is “Newborn.” Identifies all types of birth.

10. V40–V49, Person with a Condition Influencing Their Health Status • These codes are intended for use when the conditions are recorded as “diagnoses” or “problems.” • Typically listed as additional diagnoses • Indexed under “Status (post)”

11. V50–V59, Persons Encountering Health Services for Specific Procedures and Aftercare • Main terms include “Admission (encounter) for,” “Aftercare,” “Attention to” • Commonly used categories: • V56: includes codes that describe encounters for dialysis, dialysis catheter care, and adequacy testing for dialysis • Indexed under “Dialysis”

12. V60–V69, Persons Encountering Health Services in Other Circumstances • Includes a variety of codes to identify other circumstances in which patients would seek healthcare • Commonly used categories: • V67, Follow-up examination • Subdivided by the type of completed treatment • Index entry may be “Follow-up,” “Admission (encounter), for, follow-up examination.” • V67 indicates surveillance only, no treatment

13. V70–V82, Persons without Reported Diagnosis Encountered During Examination and Investigation of Individuals and Populations • For non-routine tests done to evaluate a sign, symptom, or diagnosis during the same encounter as a routine laboratory/radiology testing code both the V-code and the code describing the reason for the non-routine test • Code from category V72 is assigned as the reason for the encounter only when no problem, diagnosis, or condition is identified as the reason for the examination. • For non-routine tests done to evaluate a sign, symptom, or diagnosis during the same encounter as a routine laboratory/radiology testing code both the V-code and the code describing the reason for the non-routine test

14. V83–V84, Genetic Carrier Status & Genetic Susceptibility to Disease • Codes in Category V83 are intended to describe a patient who is known to carry a particular gene that could cause a disease to be passed on to his or her children. • Codes in Category V84 are intended to describe a patient who has a confirmed abnormal gene that makes that patient more susceptible to a particular disease.

15. V85, BMI • The body mass index (BMI) is the first determination of a patient’s weight in proportion to height

16. V86-V89 • V86: Estrogen-receptor status • V87: Other specified personal exposures and history presenting hazards to health • V88: Acquired absence of other organs and tissue • V89: Other suspected conditions not found