tci ED Coding & Reimbursement Alert - 2002 Issue 6

Reader Question: Insulin Reaction

Question: We recently had a patient in our ED with an insulin reaction. I am not sure how to choose a diagnosis code for this. Would you explain how to use the applicable codes? Arizona SubscriberAnswer: Correct code assignment will depend on whether the patient took the medication correctly. To determine the diagnosis code for drug reactions, coders must identify what caused the reaction, based on the notes provided by the ED physician in the patient record. Poisoning codes should be reported when a drug or substance is taken incorrectly. This includes medications prescribed by a physician and taken...

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