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Coding presence of insulin pump


I am struggling to find anything definitive either way… Hoping someone here can point me in the right direction :confused:

(The below example assumes that the visit record does support both codes being discussed.)

When coding the presence of an insulin pump (Z96.41), do you ALSO need to code the insulin use (Z79.4)?

It seems like it would be redundant to include both, and would be likely be determined similarly to when you have BOTH insulin use AND anti-diabetic drugs listed in the record, you code only the insulin use.

But then again, I can see why you may need/want to include both…

I’m SO confused. LOL TIA for your help!! 😎

Medical Billing and Coding Forum