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Home/Diagnosis/ICD-10 Coding for Semaglutide Therapy

ICD-10 Coding for Semaglutide Therapy

E11.9
E66.9
Z79.899

Complete ICD-10-CM coding and documentation guide for icd-10 coding for semaglutide therapy includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
GLP-1 Agonist Therapy
Ozempic
Wegovy
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Key Information: ICD-10 Coding for Semaglutide Therapy

Essential facts and insights about ICD-10 Coding for Semaglutide Therapy

Use ICD-10 code E11.9 for type 2 diabetes mellitus without complications, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Type 2 diabetes mellitus without complications

Billable Code
E11.9
Billable

Diagnostic Criteria

  • • Diagnosis of Type 2 diabetes
  • • HbA1c levels

Applicable To

  • • Type 2 diabetes

Important Notes

  • • Ensure diabetes type is correctly identified.

Obesity, unspecified

Billable Code
E66.9
Billable

Diagnostic Criteria

  • • BMI ≥30
  • • Failed lifestyle interventions

Applicable To

  • • Obesity

Important Notes

  • • Ensure BMI is documented and coded.

Other long-term (current) drug therapy

Billable Code
Z79.899
Billable

Diagnostic Criteria

  • • Documentation of semaglutide use for ≥90 days

Applicable To

  • • Long-term use of semaglutide

Important Notes

  • • Ensure semaglutide is explicitly documented.

Adverse effect of other antidiabetic drugs

Non-Billable
T46.5X5
Non-Billable

Diagnostic Criteria

  • • Temporal relationship between semaglutide administration and adverse effect

Applicable To

  • • Adverse effects due to semaglutide

Important Notes

  • • Ensure adverse effect is directly linked to semaglutide.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.899

Long-term (current) use of other medication

Use alongside E11.9 to indicate ongoing semaglutide therapy.

Z68.30

BMI 30.0-30.9, adult

Use to specify BMI when coding for obesity.

Frequently Asked Questions

How is semaglutide coded for diabetes management?

Semaglutide for diabetes is coded with E11.9 for Type 2 diabetes and Z79.899 for long-term use. Ensure semaglutide is specified in documentation.

What ICD-10 code is used for semaglutide in obesity?

For obesity, use E66.9 with a BMI code (e.g., Z68.30) and Z79.899 for long-term semaglutide use.

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