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Narcotic Contracts

  1. #1
    Location
    Madison, WI
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    Question Narcotic Contracts
    Medical Coding Books


    What Diagnosis Code (if any) is used to reflect that a patient is on a narcotics contract with their physician or clinic?

  2. #2
    Location
    Columbia, MO
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    I know of no dx code for this, is the patient undergoing pain management

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Location
    North Carolina
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    Maybe V58.69? This covers:

    -long term current use of methadone
    -long term current use of opiate analgesic
    -Other high risk medications

  4. #4
    Location
    Columbia, MO
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    That is kind of where I was going except you cannot use that as a first listed dx, so I was thinking a pain code first. If that was the reason for the narcotic contract.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Location
    North Carolina
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    Ahhh...I didn't catch that Debra. Thanks for mentioning this...

  6. #6
    Default
    Along these lines.....what would you code for a DAU to insure the patient is compliant with the pain contract?

    All I get on the lab slip is "Med Compliance"....... would you use v58.83?

    Just curious what you would use.
    Thanks!

  7. #7
    Location
    Columbia, MO
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    That is what I would use with the V58.69 secondary

    Debra A. Mitchell, MSPH, CPC-H

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