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Long term use of drugs!

  1. Default Long term use of drugs!
    Medical Coding Books

    Does anyone please help me about the Long term drug use guideline? Is it necessary the drug should be there in the patients home medication list(Past medication) and that should be continuing after discharge from the hospital also. OR this long term drug code can be used for a drug which has been prescribed during hospital visit and asking to continue for an unlimited period.

    Thara L CPC H

  2. #2
    Columbia, MO
    Long term (current) drug use - V58.6 codes are for use for when the patient has been on a medication for an extended time, or when the medication has been currently prescribed with the intent of long term use.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default ICD-10 Long term use of drug
    Please help so frusrated, where do you find the guidelines for the above? ICD-9 its V65.8 & the guidelines are clear & in ICD-10 i found directions for long term insulin but not drugs.

    thank you


  4. #4
    Columbia, MO
    Z79 is the category for long term(current) drug use. The individual drugs have a different code in this category and other drugs is at the end. This is the same as the V58.6 category in ICD-9

    Debra A. Mitchell, MSPH, CPC-H

  5. Default ICD-10-CM Official Guidelines - Z79 Long-term (current) drug therapy
    Z79 Long-term (current) drug therapy

    Codes from this category indicate a patientís
    continuous use of a prescribed drug (including such
    things as aspirin therapy) for the long-term treatment
    of a condition or for prophylactic use. It is not for
    use for patients who have addictions to drugs. This
    subcategory is not for use of medications for
    detoxification or maintenance programs to prevent
    withdrawal symptoms in patients with drug
    dependence (e.g., methadone maintenance for opiate
    dependence). Assign the appropriate code for the
    drug dependence instead.
    Assign a code from Z79 if the patient is receiving a
    medication for an extended period as a prophylactic
    measure (such as for the prevention of deep vein
    thrombosis) or as treatment of a chronic condition
    (such as arthritis) or a disease requiring a lengthy
    course of treatment (such as cancer). Do not assign a
    code from category Z79 for medication being
    administered for a brief period of time to treat an
    acute illness or injury (such as a course of antibiotics
    to treat acute bronchitis).

    ICD-10-CM Official Guidelines for Coding and Reporting
    FY 2016
    Page 84 of 115
    Valerie Bates-Hoff, CPC, CPMA
    Medical Coder/Auditor/Trainer

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