I have read the coding guidelines for V codes inpatient and out patient. I am missing something. Can anyone give me any in put on the differentiate offical coding guidelines for the V codes.

Of course! The official coding guidelines for V codes, also known as External Cause codes, provide specific instructions for their use in both inpatient and outpatient settings. Here's how you can find and differentiate these guidelines:

1. Inpatient Coding Guidelines for V codes:
a. To access the inpatient coding guidelines, visit the Centers for Medicare and Medicaid Services (CMS) website.
b. Look for the "Medicare Claims Processing Manual" section, specifically Chapter 18 - "Preventive and Screening Services".
c. Within Chapter 18, you'll find Section 280.9, which contains the guidelines for coding V codes in the inpatient setting.
d. These guidelines will help you understand how to appropriately use V codes when documenting external causes of injuries or health conditions.

2. Outpatient Coding Guidelines for V codes:
a. The outpatient coding guidelines for V codes are covered by the American Hospital Association (AHA) or the American Medical Association (AMA).
b. For AHA guidelines, you can access a publication called "Coding Clinic" available by subscription.
c. Each edition of Coding Clinic covers a variety of coding topics, including guidelines and conventions for V codes in the outpatient setting.
d. For AMA guidelines, you can refer to the "Current Procedural Terminology" (CPT) book.
e. The CPT book provides instructions on how to accurately assign V codes for identifying external causes.

It's important to note that the usage of V codes varies depending on the specific circumstances and coding system being used. Familiarizing yourself with these official coding guidelines will help ensure accurate coding and documentation.