Medical Conditions Due to Psychoactive Substance Use, Abuse and Dependence

In this video you will learn how to code medical conditions due to psychoactive substance use, abuse and dependence ICD-10-CM Guideline Section I.C.5.b.4 Medical Conditions Due to Psychoactive Substance Use, Abuse and Dependence is covered in this video.
Whether you're new to medical coding or looking to enhance your skills, the video offers quick tips and tricks to improve your coding abilities and boost your confidence. So, let's get started and happy coding!
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The information and opinions presented are based on my experience, training, and interpretation. Although the information has been researched and reviewed for accuracy, I accept no liability concerning errors, omissions, misuse or misinterpretation. This information is intended as a guide: it should not be considered a legal/consulting opinion or advice.

[@JRsmountainretreat]

Thank you for creating this for us, and on a weekend. 🙂

[@medicalcodingclarified]

Thank you for watching! 😊

[@lakesia7827]

Thank you Claire!!!!

[@medicalcodingclarified]

You are welcome! 😊

[@SundarS-vh6vi]

Tqs mam❤

[@medicalcodingclarified]

😊

[@nguyenhenry3781]

Mrs. Claire, please help me with this. Patient is admitted with epistaxis due to anticoagulation. In the coding clinic states "the sequencing of code D68.32 and other codes describing the type or site of bleeding, (e.g., hemoptysis or hematuria), would be dependent on the circumstances of the admission". So in what circumstances, D68.32 will be PDX, and when D68.32 will be 2DX. Thank you

[@medicalcodingclarified]

Hi, D68.32 would be PDx if the patient was admitted specifically to address the anticoagulant induced coagulopathy. For example say the associated bleeding was already stopped in the ED but they decide to admit the patient to give medication to reverse the coagulation and monitor the patient's coagulation labs.

[@semiverticalangle6917]

If alcohol induced pancreatitis is not mentioned whether it is due to use abuse or dependence of alcohol do we still need to query the provider about the pattern of alcohol usr

[@medicalcodingclarified]

You could, but you don't have to. Most facilities have internal guidelines as to when they allow a query so that the physicians are not overwhelmed with too many query requests. Typically queries are sent when they meet certain criteria such as impacting the DRG, principal diagnosis, add an MCC or CC or are necessary for procedure code assignment. Uncomplicated alcohol abuse or dependence does not meet that criteria so most facilities would not want that to be queried.

[@robertawearmouth2273]

May I ask what does qualify as substance induced disorder?

[@medicalcodingclarified]

Hi! Those disorders that have specific codes in chapter 5 are considered substance induced disorders. For example there is a chapter 5 code for alcohol induced sleep disorder, so if the physician specifies that the patient has insomnia due to alcohol abuse/dependence than you can assign that code. I hope that helps!

[@robertawearmouth2273]

@@medicalcodingclarified thanks!