Find information on documenting and coding the presence of an insulin pump in medical records. Learn about relevant healthcare terminology, clinical documentation best practices, and medical coding guidelines, including ICD-10 codes for insulin pump therapy, external insulin pump, continuous subcutaneous insulin infusion, and diabetes management with an insulin pump. This resource helps healthcare professionals ensure accurate and compliant documentation for patients using insulin pumps.
Also known as
Presence of insulin pump
Indicates the patient has an insulin pump.
Diabetes mellitus
Encompasses various types of diabetes, often managed with insulin pumps.
Long-term (current) drug therapy
Covers ongoing medication use, including insulin pump therapy.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the insulin pump currently in use?
Yes
Any complications?
No
Is it a past or future use?
When to use each related code
| Description |
|---|
| Insulin Pump Present |
| Insulin Pump Discontinued |
| Insulin Pump Malfunction |
Coding lacks specificity (external vs implanted). Impacts data accuracy and reimbursement.
Missing documentation of pump malfunction status can affect medical necessity reviews.
Lack of documentation on patient compliance with insulin pump therapy impacts quality metrics.
Patient presents with an insulin pump in situ, confirming the presence of an insulin pump for continuous subcutaneous insulin infusion (CSII). The patient reports using a [Specific pump model name, e.g., Medtronic Minimed 670G] insulin pump system for diabetes management. The pump site appears clean, dry, and without signs of infection or inflammation. Insulin pump settings were reviewed and discussed with the patient, including basal rates, carbohydrate ratios, correction factors, and target blood glucose levels. Patient demonstrates understanding of insulin pump operation, including site changes, cartridge filling, and troubleshooting. Current blood glucose was [blood glucose value] mgdL. HbA1c is documented as [HbA1c value] percent. The presence of this insulin pump indicates ongoing management of diabetes mellitus, type [1 or 2], requiring continuous glucose monitoring and insulin delivery. Continued use of the insulin pump is recommended as part of the patient's comprehensive diabetes management plan. Patient education regarding potential complications such as hypoglycemia, hyperglycemia, diabetic ketoacidosis (DKA), and skin infections at the infusion site was reinforced. Follow-up scheduled to assess glycemic control and insulin pump efficacy. ICD-10 code E11.9 (Type 2 diabetes mellitus without complications) or E10.9 (Type 1 diabetes mellitus without complications) may be appropriate based on the patient's specific diabetes type. Coding will also depend on the reason for the encounter, such as routine diabetes management or insulin pump-related issues. This documentation supports medical necessity for diabetes supplies and ongoing diabetes care.