Follow-up examination, following combined treatment

This code signifies a patient encounter for a post-treatment follow-up visit after receiving a combination of therapies, such as surgery with chemotherapy or radiation. It indicates the patient is no longer actively undergoing the primary treatment but is being monitored for recovery, recurrence, or long-term effects. The focus is on assessing the outcome of the completed combined therapeutic regimen.

Use this code for routine follow-up appointments after a patient has completed a multi-modality treatment plan for conditions like cancer, where they received, for example, surgical intervention followed by adjuvant chemotherapy or radiation. It is appropriate when the purpose of the visit is to check on the patient's status following the entire course of combined treatment. Do not use for follow-ups after a single treatment modality.

• Always sequence this code as a secondary diagnosis, following the code for the condition being monitored (e.g., history of malignancy).
• Ensure the medical record clearly documents that the patient received and completed a combined treatment regimen.
• Distinguish from follow-up codes for single modalities (e.g., V67.0 for surgery alone) or active treatment encounters.