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Topic Title: Lost Tampon
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Created On: 10/03/2008 02:01 PM

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 10/03/2008 02:01 PM
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STARH

Posts: 137
Joined: 05/18/2006

Patient comes in to the ER and states that she lost her tampon in her. the physician does a pelvic exam and no tampon is found.

Physician states the diagnoisis as: Examiniation for tampax - none found.

I don't know what code to put for this??
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 10/03/2008 05:57 PM
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chavez

Posts: 312
Joined: 08/11/2005

I suggest V71.89 - observation for other suspected condition.
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 10/05/2008 10:16 PM
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Dot

Posts: 1
Joined: 10/05/2008

I would use v65.5 feared complaint, not founded. hope this helps

-------------------------
ddoty
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 10/19/2008 08:53 PM
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ibeda1@aol.com

Posts: 1
Joined: 10/19/2008

Hello,
I was wondering would the following code939.2 or 939.1, would apply to this:
I thought it would have been 939.1 or 939.2, with the secondary code v65.5
Foreign body in vulva and vagina
View the most recent version of ICD-9-CM 939.2

939.2 is a specific code that can be used to specify a diagnosis
939.2 contains 2 index entries
View the ICD-9-CM Volume 1 939.* hierarchy


Index entries containing 939.2:
Foreign body
entering through orifice (current) (old)
vagina 939.2
vulva 939.2
or possibly Index entry 939.1:

Foreign body
entering through orifice (current) (old)
cervix (canal) uterine 939.1
uterus (any part) 939.1

The code V71.89 = "foreign body ingestion". Since the tampon was not eaten I do not think that this would be the right code.

The code V65.5 also known as:
Feared condition not demonstrated
Problem was normal state
"Worried well"
could it be coded as 939.1, v65.5?

Edited: 10/20/2008 at 12:14 AM by ibeda1@aol.com
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 10/20/2008 01:28 PM
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chavez

Posts: 312
Joined: 08/11/2005

Ibeda1: You can't assign 939.2 if that condition did not exist. The original post stated that the patient was examined and no foreign body was found.

I don't understand how you came up with "V71.89 = foreign body ingestion." V71.89 simply describes observation and evaluation for suspected conditions which after examination and observation are found not to exist. V71.89 is not limited to foreign body ingestion, but can include any number of suspected conditions.

V65.5 could also be used here, but you still wouldn't also code 939.2 since that condition did not exist.

Regarding 939.1 (foreign body in uterus), a tampon is not inserted into the uterus. If there had been a retained tampon that was considered a foreign body then 939.2 (foreign body in vulva and vagina) would apply. But again in this case there was nothing found so you can't report 939.2.

Whether you chose to report V71.89 or V65.5 for this case, then either one of those codes would have to stand alone.

Edited: 10/20/2008 at 01:31 PM by chavez
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