Results 1 to 9 of 9

Thread: Anyone have a list of High Risk Drugs ??

  1. #1

    Cool Anyone have a list of High Risk Drugs ??

    Promo: Code Books
    I know that some drugs that patients get put them into High MDM due to toxicity and other factors. Does anyone out there have a list of these that they are willing to share? Fairly new to Psych coding and wanting to get up to speed ASAP. Thanks!

  2. #2
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,126

    Default

    Since you posted this in Behavioral, I've copied the list (NOT all inclusive) from Palmetto GBA.

    Psychiatric drugs

    Lithium, valproic acid, some antidepressants (imipramine, amitriptyline, nortriptyline, doxepin, desipramine)

    The link doesn't work so if you want the other high risk drugs (NOT all inclusive), let me know and I can fax it to you.

  3. #3
    Join Date
    Apr 2007
    Location
    Northwest Ohio
    Posts
    100

    Default

    Can you tell me where on Palmetto's website you found this? Thanks
    Mandy Flagg, CPC, CEMC
    Compliance Auditor

  4. #4
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,126

    Default

    http://www.palmettogba.com/Palmetto/Providers.nsf/files/Drug_Therapy_Requiring_Intensive_Monitoring_for_To xicity.pdf/$FIle/Drug_Therapy_Requiring_Intensive_Monitoring_for_To xicity.pdf

    The link doesn't work...probably because it's a PDF (?). Maybe you can find the PDF in Palmetto's search engine. If not, I can fax you a copy.

  5. #5
    Join Date
    Apr 2007
    Location
    Northwest Ohio
    Posts
    100

    Default

    I will try and find it, and if I can't I will respond again.
    Thanks for the info!
    Mandy Flagg, CPC, CEMC
    Compliance Auditor

  6. #6
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,126

  7. #7
    Join Date
    Apr 2007
    Location
    Northwest Ohio
    Posts
    100

    Default

    Thanks! Got it!
    Mandy Flagg, CPC, CEMC
    Compliance Auditor

  8. #8
    Join Date
    Apr 2007
    Location
    Durham, NC
    Posts
    40

    Default E/m mdm

    If my documentation says the encounter would be a Moderate MDM, but the patient is on a high risk drug, should its inclusion push into a high LOS?
    - Thank you.

  9. #9
    Join Date
    Apr 2007
    Location
    Dover Seacoast New Hampshire
    Posts
    1,912

    Default

    We actually do have a list of high risk medications that is published by our hosptial as part of the care planning and protocols that are in place as a written policy. Interestingly, drugs that you might not consider "high risk" are on here, including insulin and synthroid. However, there's more to determining the patient risk than noting the prescription of a high risk drug. You also must look at the route of delivery, whether or not the dosage is at a therapeutic level, how much ongoing monitoring is involved in getting (and keeping) it at therepeutic level, adverse effects, contraindications, and how long the patient has been on the drug...and so forth. Asking the providers to document all that information is my biggest challenge!

    If only it was straightforward.....

    One example I give my providers who want to get high MDM for a patient on Coumadin, is that they have to show me that they are doing 'intensive monitoring' of this drug. So if the patient has been successfully prescribed Coumadin (or Warfarin) for a year, and only goes for PT-INR every month or two, and remains on the same dose...well, that's not intensive monitoring, in my opinion. So I'd give only moderate risk here, and probably only low MDM, if there's only the stable condition as a single diagnosis.
    Pam Brooks, MHA, CPC, PCS, COC
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820

    If you can dream it, you can do it. Walt Disney

Similar Threads

  1. Need a list of 'High Risk' meds
    By LoveAndLight in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 05-26-2015, 09:23 AM
  2. High risk Rx ???
    By Orthocoderpgu in forum E/M
    Replies: 3
    Last Post: 07-31-2012, 05:42 AM
  3. High risk?
    By ktews in forum Gastroenterology
    Replies: 4
    Last Post: 01-19-2012, 09:34 AM
  4. Replies: 1
    Last Post: 02-16-2010, 01:59 PM
  5. High Risk Drugs/Controlled Drugs
    By mjcstone in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-04-2008, 02:50 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.