Opiod Induced Constipation-Pain Management

SUEV

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Local Chapter Officer
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When a patient presents for a refill of meds and has new drug induced constipation, would this be considered a separate diagnosis under "Number of Diagnoses or Management Options"? Would I give 1 point for the stable chronic pain and 3 points for the new drug induced constipation OR would I give 2 points since the chronic pain may be stable but the med is causing a side effect (one established not at goal)? I consider it Moderate Risk as a chronic illness (chronic pain) with side effect of treatment (constipation).
Thanks for your opinions,
Sue
 
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