tci Part B Insider - 2012 Issue 30

ICD-10 Training Tip: Clarify Substance 'Abuse' Vs. 'Dependence' to Select the Right ICD-10 Code

You may have to drill down to manifestations to find the code that suits your patient.Get ready to change your mindset when choosing a diagnosis code for substance use, abuse, or dependence under ICD-10. Current ICD-9 codes focus on the patterns of use (episodic, continuous, or unspecified), but you'll need to define acute or chronic use to pinpoint the right code under ICD-10.ICD-9: Sub-Par Documentation Could Trap You in 'Unspecified'ICD-9 does not clearly define the terms "episodic" or "continuous" use, although you have fifth-digit subclassification choices for use that is unspecified, episodic, continuous, or in remission. Not...

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