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(2022) How To Code Insulin Pump ICD 10 – List With Codes & Guidelines

This content may be outdated

This article was published more than 1 year ago. While we strive to keep our content up to date, medical coding guidelines and regulations may have changed since then.

Below all the ICD 10 codes that can be used to assign insulin pump. Insulin pump, insulin pump malfunction and insulin pump poisoning can be reported with the following ICD 10 codes.

ICD 10 Insulin Pump

The general ICD 10 code for insulin pump can be assigned with Z96.41 and is defined as: “Presence of insulin pump. External and internal.”

This code can be reimbursed if it is used for diagnostic purposes. Report the ICD 10 codes below in case of a malfunction of the insulin pump and/or poisoing of the patient.

ICD 10 Code For Insulin Pump Malfunction

There are two ICD 10 codes that can be assigned to insulin pump malfunction. An underdose of insulin due to an insulin pump failure should  be assigned ICD 10 CM T85.

614A, as the principal or first listed code, followed by the appropriate diabetes mellitus code based on documentation. 

The following ICD 10 codes can be used for insulin pump malfunction:

ICD 10 T85. 614A: Breakdown (mechanical) of insulin pump, initial encounter.

ICD 10 T85.694A: Other mechanical complication of insulin pump, initial encounter.

Poisoning By Insulin ICD 10 Codes

The principal or first listed code for an encounter due to an insulin pump malfunction resulting in an overdose of insulin, should also be ICD 10 T85. 614A.

Followed by poisoning by insulins and antidiabetic agents, and the appropriate diabetes mellitus code based on documentation.

The following ICD 10 codes can be used for poisoning by insulin:

ICD 10 T38.3X1A: Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, accidental (unintentional), initial encounter

ICD 10 T38.3X2A: Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, intentional self-harm, initial encounter

ICD 10 T38.3X3A: Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, assault, initial encounter

ICD 10 T38.3X4A: Poisoning by insulin and oral hypoglycemic [antidiabetic] drugs, undetermined, initial encounter

This content may be outdated

This article was published more than 1 year ago. While we strive to keep our content up to date, medical coding guidelines and regulations may have changed since then.

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