Find comprehensive information on insulin pump diagnosis, including ICD-10 codes, CPT codes, medical billing guidelines, and clinical documentation best practices. Learn about insulin pump management, complications, healthcare provider resources, and patient education materials for effective diabetes care. Explore details on continuous glucose monitoring integration, insulin pump therapy, and relevant medical coding terminology for accurate healthcare record keeping.
Also known as
Diabetes mellitus
This range covers various types of diabetes, often managed with insulin pumps.
Presence of insulin pump
Specifically identifies the presence of an insulin pump in a patient.
Mech compl insulin pump, init
Covers mechanical complications of an insulin pump during initial use.
Mech compl insulin pump, subs
Covers mechanical complications of an insulin pump during subsequent use.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the insulin pump encounter for initial placement?
Yes
Any complications?
No
Encounter for malfunction?
When to use each related code
| Description |
|---|
| Insulin Pump |
| Type 1 Diabetes |
| Type 2 Diabetes |
Using unlisted codes for insulin pumps when specific HCPCS codes exist leads to claim denials and inaccurate data.
Failing to code the infusion site separately from the insulin pump can cause underpayment and compliance issues.
Coding a traditional pump when a smart pump is used results in inaccurate billing and potential healthcare fraud.
Patient presents for ongoing diabetes management with insulin pump therapy. The patient is currently utilizing an insulin pump (continuous subcutaneous insulin infusion, CSII) for Type 1 diabetes mellitus (T1DM) management. Reason for visit includes routine insulin pump follow-up, assessment of glycemic control, and evaluation of pump settings. Patient reports adherence to prescribed basal and bolus insulin regimens delivered via the insulin pump. Review of continuous glucose monitoring (CGM) data indicates overall good glycemic control, with occasional episodes of hyperglycemia and hypoglycemia. Discussed strategies for optimizing insulin pump settings, including adjustments to basal rates, carbohydrate ratios, and correction factors. Patient education provided on insulin pump maintenance, site rotation, and prevention of infusion site complications. Assessment of diabetes self-management education and support (DSMES) needs conducted. Patient demonstrates understanding of insulin pump operation and diabetes management principles. Plan includes continued insulin pump therapy, ongoing CGM monitoring, and follow-up appointment scheduled in three months to reassess glycemic control and adjust insulin pump settings as needed. Diagnosis: Diabetes mellitus, Type 1, controlled with insulin pump. Medical billing and coding will reflect evaluation and management services related to diabetes and insulin pump therapy.