Much mahalo for your response. if you look in the coding guidelines the V68.x code which you would use for prescription refills is valid only as a first listed dx code.
repeat prescription (appliance) (glasses) (medicinal substance, medicament, medicine) Z76.0 Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
Encounter for issue of repeat prescription 1 Z76.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2019 edition of ICD-10-CM Z76.0 became effective on October 1, 2018. 3 This is the American ICD-10-CM version of Z76.0 - other international versions of ICD-10 Z76.0 may differ.
Encounter for issue of repeat prescription. Z76.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM Z76.0 became effective on October 1, 2020.
ICD-10 Code for Other long term (current) drug therapy- Z79. 899- Codify by AAPC.
Even if there is no history, exam or medical decision making involved (as in the prescription refill example), you can always code the encounter as a 99211.
ICD-10 code Z51. 81 for Encounter for therapeutic drug level monitoring is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Z76. 89 is a valid ICD-10-CM diagnosis code meaning 'Persons encountering health services in other specified circumstances'. It is also suitable for: Persons encountering health services NOS.
Billing for medication refills Unless your practice provides a medically necessary evaluation and management (E/M) service in addition to the medication refill, you should not use code 99211. Refills alone are not separately reportable services.
There are no legal or insurance regulation requirements to provide prescription refills for free. The insurance company will tell you that you can charge for a prescription refill by requiring the patient to come in for an office visit.
Z51. 81 Encounter for therapeutic drug level monitoring - ICD-10-CM Diagnosis Codes.
The ICD-10 section that covers long-term drug therapy is Z79, with many subsections and specific diagnosis codes.
A: Assign a code from Z79 if the patient is receiving a medication for an extended period as a prophylactic measure (such as for the prevention of deep vein thrombosis) or as treatment of a chronic condition (such as arthritis) or a disease requiring a lengthy course of treatment (such as cancer).
ICD-10 code: Z76. 9 Person encountering health services in unspecified circumstances.