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Thread: Documentation - V58.69

  1. #1
    Join Date
    Apr 2007

    Default Documentation - V58.69

    AAPC: Back to School
    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?

  2. #2


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

  3. #3


    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.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

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