When there is some evidence to suggest existence of abnormal condition or following incident that normally results in health problem.
Ex) Head injury w/only elbow abrasion showing.--- obs of head injury would be the 1st listed V code.
Sequence reason for visit (Dx, condition, problem)
Ex) Pt having MRI for brain tumor----code: Brain tumor.
How to code routine lab/radiology testing w/o S/S or assoc Dx
Assign code V72.5 or from subcategory V72.6.
--if done during a test that is to evaluate a S/S, assign V code for routine test, and code for the reason for the non routine test.
sequence 1st the reason for visit.
if admission for chemo, radiation, or rehab, V code for the service is listed first and diagnosis listed second
V codes for personal history