AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 2; Ask the Editor

Prescribed Opioids for Pain Management

Please clarify the Official Guidelines for Coding and Reporting, Section I.C.b.3. pertaining to psychoactive substance use. For example, the provider documented opioid use. The patient was taking opioids for chronic pain as prescribed by the physician, without an associated mental or behavioral disorder. Does this guideline mean that coding professionals cannot assign a code for “opioid use” if the provider does not document an associated mental or behavioral disorder? ...

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