Wiki Routine Urine Drug Screans

[ejlavergne]

I work for an orthopaedic surgeons office. My doctor performs routine urine drug scans on all new patients, pre ops, and whenever you receive a narcotic refill. I am having trouble with a billable ICD 10 code to justify reasoning for this. I was using Z02.83 which was chronic pain. Now we are having patients insurance label them as "chronic pain patients," which is untrue. I have researched and can not find a better code for this. Can someone please help me?

 

[mitchellde]

Z02.83 is not a code for chronic pain and would not convey a message of chronic pain to the payer. Chronic pain is G89.2-. For a general drug test I can see no better code than Z02.83. The payer may not pay for this but it will not label the patient as a chronic pain or drug user or anything else.
A natcotic refill would be the Z51.81 with the Z79.- and the dx for the reason for the narc listed last.

 

[ejlavergne]

isn't Z02.83 for blood test only? We only do Urine Test.

 

[mitchellde]

You did say you were doing urine test, apologies. In that case a screening code would be needed if it were a routine screening and not for a patient already receiving natcotic pain relief.

 

[ejlavergne]

You did say you were doing urine test, apologies. In that case a screening code would be needed if it were a routine screening and not for a patient already receiving natcotic pain relief.

So, when giving refills we would use Z51.81 with the Z79.- and the dx for the reason for the narc listed last. And for new patient screenings or when we are not giving refills ,we would use which code?

 

[mitchellde]

So, when giving refills we would use Z51.81 with the Z79.- and the dx for the reason for the narc listed last. And for new patient screenings or when we are not giving refills ,we would use which code?

For general screening use Z13.89. But be aware it may be patient responsibility