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Billing and Finance

Next Reply: Re:V66.7 coding
Previous Message: LTC billing for NP
Next Message: V66.7 coding

Post V66.7 coding
Author: DeannaBrame
Date: Oct 19, 2011 12:49 pm
I have been reading with interest from another listserv, the concern about utilizing the code V66.7, which is Palliative care and that connotation to terminal care. We see many more patients who are not termninal than those that are terminal, and do not want our PC services equated to end of life care only. What are others doing in regard to combat this association besides the obvious ongoing education of providers? If providers know that the coding of PC will describe their patients as terminal, when indeed those patients are not terminal, my concern is they will not refer for reasons other than end of life care.

Any thoughts, suggestions, concerns?
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Re:V66.7 coding (by SharolHerr on 11/07/2011)
Your concern about using the V66.7 code is valid. We have found that when this code is applied by billers it generally does not reliably indicate patients that have been seen by the PC service. When the services are billed we have the clinical staff indicate the top 4 symptom diagnosis and then the coder/biller adds the V code as a supplemental code. It is important to keep a list of patients that you see so that you can take credit for what you are doing to transition the plan of care and for cost savings but are not being held accountable for patients that the service has not seen. Sharol Herr, RN, BSN, MSEd, CHPN; Palliative Clinical Manager; Mount Carmel Health Palliative Care Leadership Center; Columbus, Ohio.

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