AAPC Knowledge Center

Code to the “Highest Severity” for Drug Use, Abuse, and Dependence

When reporting a patient’s drug use, abuse, or dependence, ICD-10-CM guideline 5.C.2 states:

Psychoactive Substance Use, Abuse And Dependence When the provider documentation refers to use, abuse and dependence of the same substance (e.g. alcohol, opioid, cannabis, etc.), only one code should be assigned to identify the pattern of use based on the following hierarchy:

In other words: Code to the highest severity.

Code to the “Highest Severity” for Drug Use, Abuse, and Dependence was last modified: December 5th, 2016 by