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T1DM and V58.67

  1. #1
    Default T1DM and V58.67
    Medical Coding Books
    With Type 1 Diabetes, would you code the V58.67 as well?
    Why or why not?

  2. Default
    Type 1 is Insulin-dependent diabetes. Why should we again use v58.67 then?

  3. #3
    V58.67 is only used with Type 2 or gestational diabetes, not Type 1
    Melissa Tescher, CPC, CPMA, CEMC Compliance and Coding Specialist
    Willamette Valley Professional Services member National Advisory Board 2013-2015

  4. Default
    From the ICD-9-CM Official Guidelines:

    Diabetes mellitus and the use of insulin
    All type I diabetics must use insulin to replace what their bodies do not produce. However, the use of insulin does not mean that a patient is a type I diabetic. Some patients with type II diabetes mellitus are unable to control their blood sugar through diet and oral medication alone and do require insulin. If the documentation in a medical record does not indicate the type of diabetes but does indicate that the patient uses insulin, the appropriate fifth-digit for type II must be used. For type II patients who routinely use insulin, code V58.67, Long-term (current) use of insulin, should also be assigned to indicate that the patient uses insulin. Code V58.67 should not be assigned if insulin is given temporarily to bring a type II patient's blood sugar under control during an encounter.

    My interpretation... V58.67 should be used with the code for type II diabeties if the patient routinely uses insulin. The code is not necessary for type I diabetics, because all type I diabetics require insulin.

  5. #5
    Thank you for your help!

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