Template:ICD10 Guideline Chronic Substance Abuse - Revision history

Agarland at 22:58, 21 February 2024

2024-02-21T22:58:38Z

← Older revision		Revision as of 17:58, 21 February 2024
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	**It is very rare (but not impossible) for a patient to become dependent or addicted as an [[Acquired Diagnoses]] -- most of these occur in long-stay patients who are getting narcotics for pain and become habituated or addicted, e.g. postoperatively.		**It is very rare (but not impossible) for a patient to become dependent or addicted as an [[Acquired Diagnoses]] -- most of these occur in long-stay patients who are getting narcotics for pain and become habituated or addicted, e.g. postoperatively.
	**This is different from when a patient with chronic abuse/addiction isn't recognized to have that until after admission -- THIS is not a acquired diagnosis and should be correctly listed as a [[Comorbid Diagnosis]]		**This is different from when a patient with chronic abuse/addiction isn't recognized to have that until after admission -- THIS is not a acquired diagnosis and should be correctly listed as a [[Comorbid Diagnosis]]
	~~{{Discuss\| There are frequent instances of patients~~ with ~~addition(s) who are receive initial assessment by the~~ addiction ~~consult service~~ and ~~begin tx to address addition while in~~ hospital. ~~Sometimes the prior prescribed addition treatment requires reassessment and change by the~~ addiction ~~consult service. In these instances can this code~~ be ~~used~~ as an ~~admission code? Thanks,~~ [[~~User:Ppiche\|Pamela Piche~~]] ~~13:16, 2024 February 21 (CST) }}~~		*When a patient with a chronic abuse/addiction is admitted and that chronic abuse/addiction is part of the reason for hospital admission (e.g. for inpatient care of addiction), then that diagnosis should be listed as both a [[Comorbid Diagnosis]] and also an [[Admit Diagnosis]]
	<includeonly>{{CCI category\| Addiction}}</includeonly>		<includeonly>{{CCI category\| Addiction}}</includeonly>
	*The issue of "chronic abuse/dependence/addiction" is hard to pin down and comes down to a judgment call (specifically, the judgment of collectors and the physicians writing chart notes):		*The issue of "chronic abuse/dependence/addiction" is hard to pin down and comes down to a judgment call (specifically, the judgment of collectors and the physicians writing chart notes):

Agarland at 22:56, 21 February 2024

2024-02-21T22:56:32Z

← Older revision		Revision as of 17:56, 21 February 2024
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	*Chronic abuse/dependence/addiction does not necessarily mean there is current acute intoxication or withdrawal		*Chronic abuse/dependence/addiction does not necessarily mean there is current acute intoxication or withdrawal
	*This is almost always going to be a [[Comorbid Diagnosis]] --- and it is a comorbid even if it is being treated in the hospital. For example continuing to get methadone for chronic heroin abuse in hospital is no different than continuing to get an antihypertensive in hospital for hypertension; in both cases the chronic condition is correctly coded as a comorbid.		*This is almost always going to be a [[Comorbid Diagnosis]] --- and it is a comorbid even if it is being treated in the hospital. For example continuing to get methadone for chronic heroin abuse in hospital is no different than continuing to get an antihypertensive in hospital for hypertension; in both cases the chronic condition is correctly coded as a comorbid.
			**It is very rare (but not impossible) for a patient to become dependent or addicted as an [[Acquired Diagnoses]] -- most of these occur in long-stay patients who are getting narcotics for pain and become habituated or addicted, e.g. postoperatively.
			**This is different from when a patient with chronic abuse/addiction isn't recognized to have that until after admission -- THIS is not a acquired diagnosis and should be correctly listed as a [[Comorbid Diagnosis]]
	{{Discuss\| There are frequent instances of patients with addition(s) who are receive initial assessment by the addiction consult service and begin tx to address addition while in hospital. Sometimes the prior prescribed addition treatment requires reassessment and change by the addiction consult service. In these instances can this code be used as an admission code? Thanks, [[User:Ppiche\|Pamela Piche]] 13:16, 2024 February 21 (CST) }}		{{Discuss\| There are frequent instances of patients with addition(s) who are receive initial assessment by the addiction consult service and begin tx to address addition while in hospital. Sometimes the prior prescribed addition treatment requires reassessment and change by the addiction consult service. In these instances can this code be used as an admission code? Thanks, [[User:Ppiche\|Pamela Piche]] 13:16, 2024 February 21 (CST) }}
	<includeonly>{{CCI category\| Addiction}}</includeonly>		<includeonly>{{CCI category\| Addiction}}</includeonly>

Ppiche: /* Chronic Substance Abuse Guidelines */

2024-02-21T19:16:21Z

Chronic Substance Abuse Guidelines

← Older revision		Revision as of 14:16, 21 February 2024
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	*Chronic abuse/dependence/addiction does not necessarily mean there is current acute intoxication or withdrawal		*Chronic abuse/dependence/addiction does not necessarily mean there is current acute intoxication or withdrawal
	*This is almost always going to be a [[Comorbid Diagnosis]] --- and it is a comorbid even if it is being treated in the hospital. For example continuing to get methadone for chronic heroin abuse in hospital is no different than continuing to get an antihypertensive in hospital for hypertension; in both cases the chronic condition is correctly coded as a comorbid.		*This is almost always going to be a [[Comorbid Diagnosis]] --- and it is a comorbid even if it is being treated in the hospital. For example continuing to get methadone for chronic heroin abuse in hospital is no different than continuing to get an antihypertensive in hospital for hypertension; in both cases the chronic condition is correctly coded as a comorbid.
			{{Discuss\| There are frequent instances of patients with addition(s) who are receive initial assessment by the addiction consult service and begin tx to address addition while in hospital. Sometimes the prior prescribed addition treatment requires reassessment and change by the addiction consult service. In these instances can this code be used as an admission code? Thanks, [[User:Ppiche\|Pamela Piche]] 13:16, 2024 February 21 (CST) }}
	<includeonly>{{CCI category\| Addiction}}</includeonly>		<includeonly>{{CCI category\| Addiction}}</includeonly>
	*The issue of "chronic abuse/dependence/addiction" is hard to pin down and comes down to a judgment call (specifically, the judgment of collectors and the physicians writing chart notes):		*The issue of "chronic abuse/dependence/addiction" is hard to pin down and comes down to a judgment call (specifically, the judgment of collectors and the physicians writing chart notes):

Agarland: /* Chronic Substance Abuse Guidelines */

2021-02-22T18:56:49Z

Chronic Substance Abuse Guidelines

← Older revision		Revision as of 13:56, 22 February 2021
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	*This category indicates, as stated, that the patient has, for the indicated substance, chronic abuse and/or dependency/addiction		*This category indicates, as stated, that the patient has, for the indicated substance, chronic abuse and/or dependency/addiction
	*Chronic abuse/dependence/addiction does not necessarily mean there is current acute intoxication or withdrawal		*Chronic abuse/dependence/addiction does not necessarily mean there is current acute intoxication or withdrawal
	*This is almost always going to be a [[Comorbid Diagnosis]]		*This is almost always going to be a [[Comorbid Diagnosis]] --- and it is a comorbid even if it is being treated in the hospital. For example continuing to get methadone for chronic heroin abuse in hospital is no different than continuing to get an antihypertensive in hospital for hypertension; in both cases the chronic condition is correctly coded as a comorbid.
	<includeonly>{{CCI category\| Addiction}}</includeonly>		<includeonly>{{CCI category\| Addiction}}</includeonly>
	*The issue of "chronic abuse/dependence/addiction" is hard to pin down and comes down to a judgment call (specifically, the judgment of collectors and the physicians writing chart notes):		*The issue of "chronic abuse/dependence/addiction" is hard to pin down and comes down to a judgment call (specifically, the judgment of collectors and the physicians writing chart notes):

Agarland: /* Do not code for past drug use */

2020-10-24T23:11:58Z

Do not code for past drug use

← Older revision		Revision as of 18:11, 24 October 2020
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	=== Do not code for past drug use ===		=== Do not code for past drug use ===
	Do NOT include the chronic abuse/dependence/addiction code if the person is no longer using, but to code ~~the~~ resulting long-term problem, e.g. liver cirrhosis as a result of past alcohol abuse, or ischemic heart disease as a result past cocaine abuse.		Do NOT include the chronic abuse/dependence/addiction code if the person is no longer using, but DO code any resulting long-term problem, e.g. liver cirrhosis as a result of past alcohol abuse, or ischemic heart disease as a result past cocaine abuse.

Agarland at 16:08, 22 October 2020

2020-10-22T16:08:40Z

← Older revision		Revision as of 11:08, 22 October 2020
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	=== Do not code for past drug use ===		=== Do not code for past drug use ===
	Do NOT include the chronic abuse/dependence/addiction code if the person is no longer using, but to code the resulting long-term problem, e.g. liver cirrhosis as a result of past alcohol abuse, or ischemic heart disease as a result past cocaine abuse.		Do NOT include the chronic abuse/dependence/addiction code if the person is no longer using, but to code the resulting long-term problem, e.g. liver cirrhosis as a result of past alcohol abuse, or ischemic heart disease as a result past cocaine abuse.
	~~{{DA \|~~
	* Brought in here from task minutes so you can confirm that it's consistent with that and the rest of this template. Ttenbergen 17:57, 2020 October 21 (CDT)
	}}

Ttenbergen: /* Chronic Substance Abuse Guidelines */

2020-10-21T22:57:39Z

Chronic Substance Abuse Guidelines

← Older revision		Revision as of 17:57, 21 October 2020
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	**But the actual CUTOFF for the duration that qualifies as "chronic" is not easily delineated and depends somewhat on how heavy the use is		**But the actual CUTOFF for the duration that qualifies as "chronic" is not easily delineated and depends somewhat on how heavy the use is
	***So again, the bottom line for defining "chronic abuse" is a judgment call		***So again, the bottom line for defining "chronic abuse" is a judgment call

			=== Do not code for past drug use ===
			Do NOT include the chronic abuse/dependence/addiction code if the person is no longer using, but to code the resulting long-term problem, e.g. liver cirrhosis as a result of past alcohol abuse, or ischemic heart disease as a result past cocaine abuse.
			{{DA \|
			* Brought in here from task minutes so you can confirm that it's consistent with that and the rest of this template. Ttenbergen 17:57, 2020 October 21 (CDT)
			}}

Ttenbergen at 19:25, 21 January 2019

2019-01-21T19:25:09Z

← Older revision		Revision as of 14:25, 21 January 2019
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	[[Category:ICD10 wiki infrastructure]]		[[Category:ICD10 wiki infrastructure]][[Category:Drug and substance template]]

	----		----

Ttenbergen at 19:15, 21 January 2019

2019-01-21T19:15:38Z

Ttenbergen: template name is only used for template call, so not worth making it consistent.

2018-12-01T04:57:23Z

template name is only used for template call, so not worth making it consistent.

← Older revision		Revision as of 23:57, 30 November 2018
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	</noinclude>=== Chronic Substance Abuse Guidelines === ~~Tina -- can we chane the words "Chr Substance Abuse" to instead "Chronic abuse, dependence, addiction"~~		</noinclude>=== Chronic Substance Abuse Guidelines ===
	*This category indicates, as stated, that the patient has, for the indicated substance, chronic abuse and/or dependency/addiction		*This category indicates, as stated, that the patient has, for the indicated substance, chronic abuse and/or dependency/addiction
	*Chronic abuse/dependence/addiction does not necessarily mean there is current acute intoxication or withdrawal		*Chronic abuse/dependence/addiction does not necessarily mean there is current acute intoxication or withdrawal
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	{{ICD10 Guideline drugs and substances}}		{{ICD10 Guideline drugs and substances}}

	~~{{Discuss \| who = Tina \| question =~~
	* please fix up as part of the substance dx review }}

← Older revision		Revision as of 14:15, 21 January 2019
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	</noinclude>=== Chronic Substance Abuse Guidelines ===		</noinclude>{{ICD10 Guideline drugs and substances}}

			=== Chronic Substance Abuse Guidelines ===
	*This category indicates, as stated, that the patient has, for the indicated substance, chronic abuse and/or dependency/addiction		*This category indicates, as stated, that the patient has, for the indicated substance, chronic abuse and/or dependency/addiction
	*Chronic abuse/dependence/addiction does not necessarily mean there is current acute intoxication or withdrawal		*Chronic abuse/dependence/addiction does not necessarily mean there is current acute intoxication or withdrawal
	*This is almost always going to be a [[Comorbid Diagnosis]]		*This is almost always going to be a [[Comorbid Diagnosis]]
	<includeonly>{{CCI category\| Addiction}}</includeonly>		<includeonly>{{CCI category\| Addiction}}</includeonly>
	*The issue of "chronic abuse/dependence/addiction" is hard to pin down and comes down to a ~~judgement~~ call (specifically, the ~~judgement~~ of collectors and the physicians writing chart notes):		*The issue of "chronic abuse/dependence/addiction" is hard to pin down and comes down to a judgment call (specifically, the judgment of collectors and the physicians writing chart notes):
	*Obviously it is present if CURRENT dependence or addiction is present.		*Obviously it is present if CURRENT dependence or addiction is present.
	*But it can exist even in the ~~abence~~ of identified dependence or addiction, if chronic abuse is present.		*But it can exist even in the absence of identified dependence or addiction, if chronic abuse is present.
	*There are actually TWO ~~judgements~~ required to identify chronic abuse: (a) what is heavy use, and (b) what duration qualifies as chronic use		*There are actually TWO judgments required to identify chronic abuse: (a) what is heavy use, and (b) what duration qualifies as chronic use
	**Furthermore, and complicating the issue, is that chronic abuse is about BOTH duration and quantity.		**Furthermore, and complicating the issue, is that chronic abuse is about BOTH duration and quantity.
	**Heavier use for shorter periods COULD be considered as chronic abuse.		**Heavier use for shorter periods COULD be considered as chronic abuse.
	**e.g. even without dependence or addiction, >5 years of heavy or regular use qualifies as "chronic abuse"		**e.g. even without dependence or addiction, >5 years of heavy or regular use qualifies as "chronic abuse"
	**But the actual CUTOFF for the duration that qualifies as "chronic" is not easily delineated and depends somewhat on how heavy the use is		**But the actual CUTOFF for the duration that qualifies as "chronic" is not easily delineated and depends somewhat on how heavy the use is
	***So again, the bottom line for defining "chronic abuse" is a ~~judgement~~ call		***So again, the bottom line for defining "chronic abuse" is a judgment call

	~~{{ICD10 Guideline drugs and substances}}~~