Wiki Documentation - V58.69

[shannfd]

What documentation would you expect to see when using V58.69 - Long-term (current) use of other medications? Would you accept documentation of a lengthy list of medications? Or would you expect to see the length of time that the patients were on the medications?

 

[kbarbag]

Length of time on Medication and review of any possible side effects from that medication.

 

[dballard2004]

Per Coding Clinic 4th Quarter 2002, There is no definition or time frame for long term. If a patient receives a drug on a regular basis and has multiple refills available for a prescription then it is appropriate to document long-term drug use. This documentation is at the discretion of the health care provider.