AHA Coding Clinic® for ICD-9 - 2010 Issue 1; Clarifications

5th Digits for Pattern of Use for Alcohol and Drug Abuse/Dependence

Please provide clarification regarding the fifth digit subclassification for categories 303-305 to indicate the patient's pattern of drug and alcohol abuse. In Coding Clinic, Second Quarter 1991, page 11, advice was provided to allow facilities to use documentation from "technical and professional personnel other than the attending physician" for the purpose of assigning fifth digits. In addition, examples were given regarding the corresponding fifth digits. We understand that coding should be based on the documentation of a provider as defined in the Official Guidelines for Coding and Reporting—the physician or any qualified health care practitioner who is legally accountable for establishing the patient's diagnosis. Since technical and professional personnel such as rehabilitation counselors and other professionals are not legally responsible for establishing the patient's diagnosis, we wonder if their documentation could be used to provide further specificity for the selection of the fifth digits for these codes? ...

To read the full article, sign in and subscribe to AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS .

  • The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice
  • Current newsletters added each quarter
  • Full Archives - over 3100 articles
  • ALL years/issues back to 1984 organized by year and issue
  • Includes ICD-10-CM/PCS Articles since 2013
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - ICD-10-CM/PCS +Archives

free demo
request yours today
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.