tci Part B Insider - 2007 Issue 5

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 In these cases, you should add V58.67 (Long-term [current] use of insulin) in those cases.Warning: If you-re using an outdated ICD-9 book or -cheat sheet,- you may not realize the rules for 250.xx changed on Oct. 1, 2004, says coding expert Marie West.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 depends on pancreatic functioning, not insulin use. Many...

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