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PER CODING CLINIC, Q2 1990:

"Codes from the V71.0-V71.9 series are assigned as principal diagnoses for encounters or admissions to evaluate the patient's condition when there is some evidence to suggest the existence of abnormal condition or following an accident or other incident that ordinarily results in a health problem, and where no supporting evidence for the suspected condition is found and no treatment is currently required. The fact that the patient may be scheduled for continuing observation in the office/clinic setting following discharge does not limit the use of this category.

Example 1: A patient was admitted after a motor vehicle accident for observation and evaluation for possible intracranial injury. The patient was admitted for evaluation of intracranial injury, which was ruled out. Additional injuries included minor bruises and skin abrasions. Assign V71.4, Observation following other accident, as principal diagnosis. Additional codes may be assigned for the minor injuries.

When the purpose of observation is for a possible serious injury, the V71 code takes precedence over related minor injuries not requiring hospital admission."

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Q: What is a v code for normal exam following an mva?
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