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Code V5866 long term use of aspirin

Last post 11-12-2007, 7:36 PM by Josie Mananes. 4 replies.
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  •  11-06-2007, 3:32 PM

    Code V5866 long term use of aspirin

    We have a difference of opinion on the long term use of medication V-codes.  Some of us believe that the codes are appropriate when the patient's record does not document the use of a drug like aspirin in the patients medication history, but the patient is discharged from the inpatient stay with orders for the drug.  Others believe that the patient must have a history of continous use as defined by Webster's dictionary, meaning that the patient must have been taking the medication before entering the hospital for the current admission.  When is the code V5866 appropriate for use?  Is the patient required to be on the medication at home before the admission to meet the meaning of "continous?"  The scenario is that the patient was admitted with a CVA and was given baby aspirin while in the hospital.  Discharge orders are for the patient to contiinue with the baby aspirin as a "new medication."  There is no documentation that the patient was on aspirin before his admission to the hospital.

    Thanks for your help.

  •  11-12-2007, 1:54 PM

    • Fami Sharif is not online. Last active: 05-17-2008, 11:40 AM Fami Sharif
    • Joined on 05-17-2008
    • Quality Assurance Supervisor
    • Kaiser Permanente
    • Santa Monica, CA
    • 1 Posts

    Re: Code V5866 long term use of aspirin

    Hi,

     

    I think the physician has to documented that pt has ..... and now is taking aspirin for it.

    Otherwise, must query physician why pt is on this medication.

     

    :)

    FSP 

     

  •  11-12-2007, 2:58 PM

    Re: Code V5866 long term use of aspirin

    Thank you for your reply. 

    The physician did document heart disease in the record.  The question comes in with the long term use of the aspirin which there is no documentation of before he enters the hospital, and when he is discharged home on it.  Is it considered "long-term" if the patient is given the drug only in the hospital (2 to 3) day stay, and is sent home on the drug?

    Marlene

  •  11-12-2007, 7:02 PM

    Re: Code V5866 long term use of aspirin

    At our hospital, our policy is to code the V5866 only if the patient has been taking aspirin on admission - we don't code it if it is a new drug to be taken on discharge even if the patient was placed on it during hospitalization.  We also do not code V5866 on patients who normally take aspirin, but who are asked to hold it for a week prior to surgery.
  •  11-12-2007, 7:36 PM

    Re: Code V5866 long term use of aspirin

    V5866 long term use of aspirin is appropriate for patients who have been taking Aspirin for a long time not only on admission. However there is a CPT Code that indicates that Aspirin was prescribed 4011F which will be the basis for future admissions or consults  that  V5866 may now be noted  by that time.
    Dr. Josie D. Mananes MD, CPC-A