--- title: How to Use ‘V-Code’ Home Health Care Coding Correctly on OASIS description: Home Health Care Coding - A V-code refers to a treatment protocol for a known disease, such as dialysis for kidney disease requiring, physical therapy for a fractured hip or medication monitoring for Coumadin or Theophyline. image: https://go.myhomecarebiz.com/hs-fs/hub/375308/file-627474673.jpg --- [![PowerPath.ai](https://go.myhomecarebiz.com/hs-fs/hubfs/Power-Path-copy.ai_-2048x263.png?width=2000&height=256&name=Power-Path-copy.ai_-2048x263.png "PowerPath.ai")](https://powerpath.ai/) - [How It Works](https://powerpath.ai/how-it-works/) - [Tools for Growth](https://powerpath.ai/tools-for-growth/) - [Meet Pattii](https://powerpath.ai/meet-pattii/) - [Resources](https://powerpath.ai/resources/) - [Blog](https://go.myhomecarebiz.com/blog) - [About](https://powerpath.ai/about/) - [Contact](https://powerpath.ai/contact/) [My Account](https://secure.myhomecarebiz.com/) [Get Demo](https://melissa-myhomecarebiz.youcanbook.me/) ![BlogHeaderImg](https://go.myhomecarebiz.com/hs-fs/hubfs/BlogHeaderImg.png?width=2000&height=666&name=BlogHeaderImg.png "BlogHeaderImg") # Home Health Insights Stay informed with the latest news in home health. ## Browse by Topic - [Regulatory News for Home Health & Hospice (173)](https://go.myhomecarebiz.com/blog/topic/regulatory-news-for-home-health-hospice) - [Clinical Best Practices for Home Health & Hospice (22)](https://go.myhomecarebiz.com/blog/topic/clinical-best-practices-for-home-health-hospice) - [Home Health Billing & Coding (21)](https://go.myhomecarebiz.com/blog/topic/home-health-billing-coding) - [Home Health Marketing (18)](https://go.myhomecarebiz.com/blog/topic/home-health-marketing) ## How to Use ‘V-Code’ Home Health Care Coding Correctly on OASIS How to Use ‘V-Code’ Home Health Care Coding Correctly on OASIS Posted by Melissa Cott on Apr 1, 2014 # How to Use ‘V-Code’ Home Health Care Coding Correctly on OASIS Posted by [Melissa Cott](https://go.myhomecarebiz.com/blog/author/melissa-cott) on Apr 1, 2014 The use of V-code home health care coding on OASIS is considered an “assignment of last resort.” A V-code refers to a treatment protocol for a known disease, such as dialysis for kidney disease requiring, physical therapy for a fractured hip or medication monitoring for Coumadin or Theophyline. The underlying reason for the v-code procedure code must accompany a V code to support the treatment being performed. V-codes indicate a**![iStock_000008162555Small_NewWeb](https://go.myhomecarebiz.com/hs-fs/hub/375308/file-627474673.jpg?width=260&height=173&name=file-627474673.jpg)** reason for an encounter. V codes are used to deal with occasions when circumstances other than a disease or injury are recorded as “diagnoses” or “problem”. An example… An 85-year-old independent female sustained a left hip fracture resulting in a hospital stay for an open reduction with internal fixation. Following her discharge from the hospital, she is admitted to a skilled nursing facility (SNF) where she is scheduled to be discharged from the SNF to her home where she will receive skilled therapy services. Her physician orders non-weight bearing activity to her left lower extremity with supervised pivot transfers and contact guard assist in and out of bed. **Skilled Nursing**: The HHA did not receive an order from the patient’s physician to provide skilled nursing services. The initial assessment visit by the HHA did NOT identify skilled nursing needs. **Therapy Need**: The physician ordered physical therapy (PT) for gait evaluation/training and strengthening exercises three times per week for four weeks. The patient’s ambulation is limited due to the non-weight bearing status of her left leg. This is her first episode of home health care. Twelve therapy visits are ordered by her physician for this episode of care. M1022: V57.1, Other physical therapy. M1024: 781.2, Abnormality of gait V57.1 is selected as the patient’s primary diagnosis and assigned to M1022. The rehabilitation code V57.1, Other physical therapy, qualifies as the patient’s M1022 primary diagnosis because the focus of the patient’s current home health plan of care is to provide rehabilitation through therapeutic physical therapy. Coding guidelines for V57 instructs the HHA to use an additional code to identify the patient’s underlying condition on M1024 Code 781.2, Abnormality of gait, is identified as the patient’s underlying condition on M1024. **MyHomecareBiz ‘Virtual’ Director of Nursing Services Performs Diagnosis Codes Services** Virtual Director of Nursing services include utilization review, OASIS documentation and chart review, diagnosis coding, physician order tracking and progress note review. Our team of experienced home health RNs and coders can be your 'extra set of hands' working behind the scenes to make sure your assessments are coded properly and your charts pass the scrutiny of a Medicare surveyor or RAC audit team. 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