09-26-2017, 04:16 AM | Community Wiki

Page 2 of 2 FirstFirst 12
Results 11 to 11 of 11

Z79.4 Long Term Insulin Use

  1. #11
    Medical Coding Books
    Quote Originally Posted by bergpws View Post
    Hi can you direct me for finding where the book says we cannot use the med list for coding long term use of insulin or hypoglycemic meds?
    Long-term (current) drug therapy
    Codes from this category indicate a patientís
    continuous use of a prescribed drug (including such
    things as aspirin therapy) for the long-term treatment
    of a condition or for prophylactic use. It is not for
    use for patients who have addictions to drugs. This
    subcategory is not for use of medications for
    detoxification or maintenance programs to prevent
    withdrawal symptoms in patients with drug
    dependence (e.g., methadone maintenance for opiate
    dependence). Assign the appropriate code for the
    drug dependence instead.

    Assign a code from Z79 if the patient is receiving a
    medication for an extended period as a prophylactic
    measure (such as for the prevention of deep vein
    thrombosis) or as treatment of a chronic condition
    (such as arthritis) or a disease requiring a lengthy
    course of treatment (such as cancer). Do not assign a
    code from category Z79 for medication being
    administered for a brief period of time to treat an
    acute illness or injury (such as a course of antibiotics
    to treat acute bronchitis).

    Basically, it's saying that you can't code long-term if you don't have a diagnosis to pair it (unless stated as prophylactic) with although not all clients follow this rule. That's all I could find in the book.
    Ivan Balza, CCS, CPC, CDEO, CPMA, CRC
    President, Corona California Chapter

Page 2 of 2 FirstFirst 12

Similar Threads

  1. Z79.899 vs Z79.891
    By pennysueorr in forum Diagnosis Coding
    Replies: 1
    Last Post: 08-07-2017, 10:46 AM
  2. Long-Term use of Insulin - V58.67
    By klamm in forum Diagnosis Coding
    Replies: 5
    Last Post: 06-19-2014, 04:26 PM
  3. Long-term use of insulin (time parameters)
    By nolagirl in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 11-04-2009, 10:00 PM
  4. Long-term insulin use
    By NBarthalow in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 11-20-2007, 03:20 PM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.