TEST YOUR SKILLS

When a patient has laboratory studies ordered/performed for screening purposes, the best diagnosis code to use would be:

Answer: c

The best code for screening laboratory tests is V 72.6, Laboratory examination (special investigations and examinations). The other possible code is V 71.8, observation for other specified/suspected condition, if there is a suspected problem based on the patient's presenting signs and symptoms documented in the record for the date of service the lab work is ordered. It is very important that true "screening exams" not be coded with a diagnosis for a problem that does not exist. Even though "screening exams" are generally not covered by third party payers, do not give the patient a problem in order to get the test reimbursed by insurance. If the exam is for screening purposes only and/or needed to establish a baseline factor and there is no evidence of a problem, no signs or symptoms documented which would indicate the need for the test, then the diagnosis must be for screening, V72.6.

Return To Test Your Coding Skills