Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Behavioral Health
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 01-05-2011, 11:01 AM
new2ortho new2ortho is offline
Expert
 
Join Date: Apr 2007
Posts: 339
new2ortho is on a distinguished road
Cool Anyone have a list of High Risk Drugs ??

I know that some drugs that patients get put them into High MDM due to toxicity and other factors. Does anyone out there have a list of these that they are willing to share? Fairly new to Psych coding and wanting to get up to speed ASAP. Thanks!
Reply With Quote
  #2  
Old 01-05-2011, 12:50 PM
RebeccaWoodward* RebeccaWoodward* is offline
True Blue
 
Join Date: Apr 2007
Location: North Carolina
Posts: 3,129
RebeccaWoodward* will become famous soon enough
Default

Since you posted this in Behavioral, I've copied the list (NOT all inclusive) from Palmetto GBA.

Psychiatric drugs

Lithium, valproic acid, some antidepressants (imipramine, amitriptyline, nortriptyline, doxepin, desipramine)

The link doesn't work so if you want the other high risk drugs (NOT all inclusive), let me know and I can fax it to you.
Reply With Quote
  #3  
Old 01-05-2011, 01:34 PM
MandyFlagg MandyFlagg is offline
Networker
 
Join Date: Apr 2007
Location: Northwest Ohio
Posts: 91
MandyFlagg is on a distinguished road
Default

Can you tell me where on Palmetto's website you found this? Thanks
__________________
Mandy Flagg, CPC, CEMC
Compliance Auditor
Reply With Quote
  #4  
Old 01-05-2011, 01:41 PM
RebeccaWoodward* RebeccaWoodward* is offline
True Blue
 
Join Date: Apr 2007
Location: North Carolina
Posts: 3,129
RebeccaWoodward* will become famous soon enough
Default

http://www.palmettogba.com/Palmetto/Providers.nsf/files/Drug_Therapy_Requiring_Intensive_Monitoring_for_To xicity.pdf/$FIle/Drug_Therapy_Requiring_Intensive_Monitoring_for_To xicity.pdf

The link doesn't work...probably because it's a PDF (?). Maybe you can find the PDF in Palmetto's search engine. If not, I can fax you a copy.
Reply With Quote
  #5  
Old 01-05-2011, 01:44 PM
MandyFlagg MandyFlagg is offline
Networker
 
Join Date: Apr 2007
Location: Northwest Ohio
Posts: 91
MandyFlagg is on a distinguished road
Default

I will try and find it, and if I can't I will respond again.
Thanks for the info!
__________________
Mandy Flagg, CPC, CEMC
Compliance Auditor
Reply With Quote
  #6  
Old 01-05-2011, 02:01 PM
RebeccaWoodward* RebeccaWoodward* is offline
True Blue
 
Join Date: Apr 2007
Location: North Carolina
Posts: 3,129
RebeccaWoodward* will become famous soon enough
Default See if this works

http://www.palmettogba.com/palmetto/...navmenu=%7C%7C
Reply With Quote
  #7  
Old 01-05-2011, 02:10 PM
MandyFlagg MandyFlagg is offline
Networker
 
Join Date: Apr 2007
Location: Northwest Ohio
Posts: 91
MandyFlagg is on a distinguished road
Default

Thanks! Got it!
__________________
Mandy Flagg, CPC, CEMC
Compliance Auditor
Reply With Quote
  #8  
Old 02-21-2011, 05:29 AM
sorcha48 sorcha48 is offline
Networker
 
Join Date: Apr 2007
Location: Durham, NC
Posts: 40
sorcha48 is on a distinguished road
Default E/m mdm

If my documentation says the encounter would be a Moderate MDM, but the patient is on a high risk drug, should its inclusion push into a high LOS?
- Thank you.
Reply With Quote
  #9  
Old 02-22-2011, 07:13 AM
Pam Brooks's Avatar
Pam Brooks Pam Brooks is offline
True Blue
 
Join Date: Apr 2007
Location: Dover Seacoast New Hampshire
Posts: 1,323
Pam Brooks will become famous soon enough
Default

We actually do have a list of high risk medications that is published by our hosptial as part of the care planning and protocols that are in place as a written policy. Interestingly, drugs that you might not consider "high risk" are on here, including insulin and synthroid. However, there's more to determining the patient risk than noting the prescription of a high risk drug. You also must look at the route of delivery, whether or not the dosage is at a therapeutic level, how much ongoing monitoring is involved in getting (and keeping) it at therepeutic level, adverse effects, contraindications, and how long the patient has been on the drug...and so forth. Asking the providers to document all that information is my biggest challenge!

If only it was straightforward.....

One example I give my providers who want to get high MDM for a patient on Coumadin, is that they have to show me that they are doing 'intensive monitoring' of this drug. So if the patient has been successfully prescribed Coumadin (or Warfarin) for a year, and only goes for PT-INR every month or two, and remains on the same dose...well, that's not intensive monitoring, in my opinion. So I'd give only moderate risk here, and probably only low MDM, if there's only the stable condition as a single diagnosis.
__________________
Pam Brooks, CPC, CPC-H
Coding Manager
Wentworth-Douglass Hospital
Dover, NH 03820
Pam.Brooks@aapcca.org
AAPCCA Board of Directors (Region 1--ME, NH, VT, MA, RI, CT, NY)
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 06:09 AM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC