AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2020 Issue 1; Ask the Editor

Psychoactive Substance Use and Physical Disorder

The Official Guidelines for Coding and Reporting for Psychoactive Substance Use, Unspecified (I.C.5.b.3.) state, “These codes are to be used only when the psychoactive substance use is associated with a physical, mental or behavioral disorder, and such a relationship is documented by the provider.” Coding professionals are unclear as to what constitutes a “physical disorder.” What does the term “physical” in guideline I.C.5.b.3 mean? ...

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