Assign code 304.00, Opioid type dependence, unspecified, for patients who are receiving methadone maintenance because of heroin dependence. Code V58.69, Long-term (current) use of other medications, is not appropriate since it should not be used for patients who have addictions to drugs. The Official Guidelines for Coding and Reporting state that subcategory V58.6 is not used for medications for detoxification or maintenance programs to prevent withdrawal symptoms in patients with drug dependence (e.g., methadone maintenance for opiate dependence).
AHA Coding Clinic® for ICD-9 - 2010 Issue 2; Ask the Editor
Methadone Maintenance for Heroin Dependence
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