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ICD-9-CM Official Guidelines for Coding and Reporting - Office of ...

ICD-9-CM Official Guidelines for Coding and Reporting - Office of ...

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V86<br />

V88<br />

Codes from category V84, Genetic susceptibility to<br />

disease, should not be used as principal or firstlisted<br />

codes. If the patient has the condition to<br />

which he/she is susceptible, <strong>and</strong> that condition is the<br />

reason <strong>for</strong> the encounter, the code <strong>for</strong> the current<br />

condition should be sequenced first. If the patient is<br />

being seen <strong>for</strong> follow-up after completed treatment<br />

<strong>for</strong> this condition, <strong>and</strong> the condition no longer<br />

exists, a follow-up code should be sequenced first,<br />

followed by the appropriate personal history <strong>and</strong><br />

genetic susceptibility codes. If the purpose <strong>of</strong> the<br />

encounter is genetic counseling associated with<br />

procreative management, a code from subcategory<br />

V26.3, Genetic counseling <strong>and</strong> testing, should be<br />

assigned as the first-listed code, followed by a code<br />

from category V84. Additional codes should be<br />

assigned <strong>for</strong> any applicable family or personal<br />

history.<br />

See Section I.C. 18.d.14 <strong>for</strong> in<strong>for</strong>mation on<br />

prophylactic organ removal due to a genetic<br />

susceptibility.<br />

Estrogen receptor status<br />

Acquired absence <strong>of</strong> other organs <strong>and</strong> tissue<br />

4) History (<strong>of</strong>)<br />

There are two types <strong>of</strong> history V codes, personal <strong>and</strong> family.<br />

Personal history codes explain a patient’s past medical<br />

condition that no longer exists <strong>and</strong> is not receiving any<br />

treatment, but that has the potential <strong>for</strong> recurrence, <strong>and</strong><br />

there<strong>for</strong>e may require continued monitoring. The exceptions to<br />

this general rule are category V14, Personal history <strong>of</strong> allergy<br />

to medicinal agents, <strong>and</strong> subcategory V15.0, Allergy, other<br />

than to medicinal agents. A person who has had an allergic<br />

episode to a substance or food in the past should always be<br />

considered allergic to the substance.<br />

Family history codes are <strong>for</strong> use when a patient has a family<br />

member(s) who has had a particular disease that causes the<br />

patient to be at higher risk <strong>of</strong> also contracting the disease.<br />

Personal history codes may be used in conjunction with followup<br />

codes <strong>and</strong> family history codes may be used in conjunction<br />

with screening codes to explain the need <strong>for</strong> a test or<br />

procedure. History codes are also acceptable on any medical<br />

record regardless <strong>of</strong> the reason <strong>for</strong> visit. A history <strong>of</strong> an illness,<br />

<strong>ICD</strong>-9-<strong>CM</strong> <strong>Official</strong> <strong>Guidelines</strong> <strong>for</strong> <strong>Coding</strong> <strong>and</strong> <strong>Reporting</strong><br />

Effective October 1, 2008<br />

Page 70 <strong>of</strong> 119

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