Wiki When to code drug dependence

[LindaKrarup]

I am looking for input on whether or not you can code drug dependence (opioid or other addictive drugs) if the drug is a prescribed medication for chronic pain or other reasons. Can it be considered drug dependence if a member is on chronic long-term drugs if they are prescribed? Thank you!

 

[aholla04]

Drug Dependance

You should never code drug dependance for for anything unless it is specifically documented by the physician. A patient may well be addicted to a prescription and be managed by the doctor, however you never want to assign drug abuse codes or dependance unless the doctor has the documentaion to back it up.

 

[mitchellde]

I agree, just because a patient has a chronic condition which requires medication for management is not the same thing as drug dependence, so do not code unless the physician specifically documents this.

 

[LindaKrarup]

That is how we have been looking at it too. The next question is if the provider indicates a diagnosis as "opioid dependence" in the note and the patient is on prescribed opiates, can we code it as dependence?