CPC · Question #4
Which one of the following is an example of a case in which a diabetes-related problem exists and the code for diabetes is never sequenced first?
The correct answer is B. If the patient has an underdose of insulin due to an insulin pump malfunction. When a patient experiences an underdose of insulin due to an insulin pump malfunction, the primary reason for the encounter would be the malfunction itself, which is coded first. The resulting hyperglycemia or hypoglycemia due to the pump failure is a secondary condition…
Question
Which one of the following is an example of a case in which a diabetes-related problem exists and the code for diabetes is never sequenced first?
Options
- AIf the patient has hyperglycemia that Is not responding to medication
- BIf the patient has an underdose of insulin due to an insulin pump malfunction
- CIf the patient is being treated for secondary diabetes
- DIf the patient is being treated for type 2 diabetes
How the community answered
(42 responses)- A2% (1)
- B74% (31)
- C7% (3)
- D17% (7)
Explanation
When a patient experiences an underdose of insulin due to an insulin pump malfunction, the primary reason for the encounter would be the malfunction itself, which is coded first. The resulting hyperglycemia or hypoglycemia due to the pump failure is a secondary condition. According to ICD-10-CM guidelines, the code for the mechanical complication of the pump (T85.633-) is sequenced first, followed by a code for the diabetes with complication (E11.65 for type 2 diabetes with hyperglycemia).
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