Home Health ICD-9/ICD-10 Alert

Question: Is there a code available for medication management and teaching?

Answer: When providing care for medication management and teaching, code the condition being treated. For example, code diabetes as primary for a patient who requires b.i.d. insulin for his diabetes. You will also need to code the manifestations of diabetes or other co-morbidities that cause the patient not to be able to self-administer the insulin. Code V58.67 for long-term use of insulin for the type II or unspecified type diabetic who takes insulin.

Example: If your patient has polyneuropathy and diabetic cataracts, which prevent him from self-ad-ministering his insulin, code the patient as follows:

M0230--250.6x (Diabetes with neurological manifestations)

M0240b--357.2 (Polyneuropathy in diabetes)

M0240c--250.5x (Diabetes with ophthalmic manifestations)

M0240d--366.41 (Diabetic cataract)

M0240e--V58.67 (Long-term [current] use of insulin)

Tip: Insulin is normally self-administered, but if a patient is unable to self-administer and there is no available, able, and willing caregiver, then insulin administration is a covered service. No end in sight is required.