tci Medicare Compliance & Reimbursement - 2007 Issue 8

CODING ~ Look To Pancreatic Functioning (Not Insulin Use) When Using This Diagnosis Code

Insulin urban legend can make your life difficult. Myth: You should list your patient as having Type I diabetes if the patient needs insulin. Fact: You can use 0 or 2 as the fifth digit even if the patient needs insulin. Some Type II diabetics require insulin. In these cases, you should add V58.67 (Long-term [current] use of insulin) in those cases.Warning: If you're using an outdated ICD-9 book or "cheat sheet," you may not realize the rules for 250.xx changed on Oct. 1, 2004, says coding expert Marie West. Since then, the fifth digit...

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