opinions please… Senior coders in my facility have said that we need to add the Z code for oral med and for insulin use in ALL patients diagnosed with E (diabetes) series codes.
I see in the October Primary Care Coding newsletter where it states only if diabetes is a secondary diagnosis, i.e. caused by adverse drug effect, pulmonary fibrosis, etc. And then if the patient is on both oral and insulin, only code the insulin.
Any clarification out there? I have been adding Z79.84 for oral, Z79.4 for insulin, Z79.899 for other injectable-non insulin. Thanks in advance! Jeanette Remmers–coder in a FQHC clinic