tci ED Coding & Reimbursement Alert - 2008 Issue 9

Reader Questions: Patient Actions Guide Insulin OD Code Choice

Question: Encounter notes indicate that a patient with uncontrolled type II diabetes had an insulin overdose. The patient also reported having nausea and a brief blackout prior to reporting to the ED. Is 962.3 the correct diagnosis code for the insulin reaction? Illinois Subscriber Answer: Maybe. Your overdose code choice will depend on whether the patient took her medication correctly. Check the encounter notes to find out what caused the patient's insulin reaction. If the patient took more than the prescribed amount of insulin, then you would report: - 962.3 (Poisoning by hormones and synthetic substitutes; insulins...

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