What should be considered when choosing an insulin pump?
In ICD-10-CM, chapter 4, "Endocrine, nutritional and metabolic diseases (E00-E89)," includes a separate subchapter (block), Diabetes mellitus E08-E13, with the categories:
Diabetes Mellitus and the Use of Insulin and Oral Hypoglycemic Drugs If the documentation in a medical record does not indicate the type of diabetes but does indicate that the patient uses insulin: Assign code E11-, Type 2 diabetes mellitus. Assign code Z79.4, Long term (current) use of insulin, or Z79.84, Long-term (current) use of oral
“I was afraid at night because I am a super-deep, champion sleeper,” Lewis said, “I sleep through the alarms on the device that are supposed to wake me up ... of the insulin pump a function ...
In one survey of 640 new pumps from four different insulin pump manufacturers, 36% were reported to have a defect of some sort including 16% that had failed and 6.5% that required replacement due to a mechanical defect (27,28).
Overdose of insulin due to insulin pump failure can be reported using code T85. 6, followed by code T38. 3X1.
(b) Overdose of insulin due to insulin pump failure The principal or first-listed code for an encounter due to an insulin pump malfunction resulting in an overdose of insulin, should also be T85.
8: Type 2 diabetes mellitus With unspecified complications.
ICD-10-CM Code for Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, accidental (unintentional), initial encounter T38. 3X1A.
ICD-10-CM Code for Long term (current) use of insulin Z79. 4.
ICD-10 Code Z79. 4, Long-term (current) use of insulin should be assigned to indicate that the patient uses insulin for Type 2 diabetes mellitus (Category E11* codes). Z79.
When the type of diabetes mellitus is not documented in the medical record, the default is type 2, which classifies to category E11.
The following statement(s) is true regarding late effects: There is no time limit for the development of a residual. A patient may develop more than one residual. A residual may occur months after an injury.
E66. 01 is morbid (severe) obesity from excess calories. E66. 9 is unspecified obesity.
ICD-10-CM Code for Type 2 diabetes mellitus with unspecified complications E11. 8.
ICD-10 Code for Atherosclerotic heart disease of native coronary artery without angina pectoris- I25. 10- Codify by AAPC.
Ketoacidosis was not a reaction the patient had to the insulin, it is the result of not getting the insulin. Thus the code 996.57, Mechanical complication due to insulin pump tells there was a problem with the pump not administering the med, ...
Normally, you will code the diabetes first, but in this case, the patient was getting diabetic ketoacidosis due to the fact that the insulin pump was malfunctioning and wasn't getting the insulin to the patient. Therefore, you will have to code the insulin pump malfunction first, with the diabetes with ketoacodosis second.