AAPC - Back to school
Results 1 to 5 of 5

Thread: T1DM and V58.67

  1. #1
    Join Date
    Apr 2007

    Default T1DM and V58.67

    AAPC: Back to School
    With Type 1 Diabetes, would you code the V58.67 as well?
    Why or why not?

  2. #2


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

  3. #3
    Join Date
    Apr 2007


    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. #4


    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
    Join Date
    Apr 2007


    Thank you for your help!

Similar Threads

  1. V58.83 - Hello! I code for an outpatient lab.
    By tarab524 in forum Diagnosis Coding
    Replies: 6
    Last Post: 04-17-2015, 06:41 PM
  2. V58.83
    By adaniel in forum Diagnosis Coding
    Replies: 4
    Last Post: 09-15-2014, 01:40 PM
  3. Med check coding. V58.83-V58.69
    By LADY_SETSUNA_CJ in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 03-22-2013, 11:20 AM
  4. V58.61
    By Codersmile in forum Internal Medicine
    Replies: 5
    Last Post: 11-16-2009, 11:13 AM
  5. V58.83 - Can I use V58.83 for:
    By tracefurious in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 10-26-2009, 02:38 PM

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.