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Z79.4 Long Term Insulin Use

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    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?
    Thanks!
    Long-term (current) drug therapy
    Codes from this category indicate a patient’s
    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

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