Anesthesia Coding Alert

Reader Questions: V58.69 Could Work for Chronic Narcotic Use


- Published on Wed, Dec 05, 2007

Question: What diagnosis should I use for chronic narcotic use?

Louisiana Subscriber

Answer: Some coders report 304.90 (Unspecified drug dependence; unspecified), but others aren’t comfortable documenting "drug dependence" and "chronic use" together. Depending on your physician’s documentation, another option could be V58.69 (Long-term [current] use of other medications).

Example: V58.69 is appropriate when your pain management physician states that the patient has been using narcotics for her pain (indicating long-term use for therapeutic reasons) but states nothing about actual dependence.



Get 14-Day Fully-Functional Free Trial of Physician Coder

Get access to all your specialty alerts and archived articles along with some comprehensive tools including:
  • Code Search for CPT®, HCPCS, ICD-9 and ICD-10
  • CCI Edits Checker
  • Part B Fees, MUEs
  • CPT-ICD-9 CrossRef
  • CPT® ↔ ICD-9 ↔ ICD-10 CM Crosswalk
  • LCD/NCD Lookup
  • CMS 1500 Claims Scrubber
  • NDC ↔ CPT/HCPCS CrossReference
First Name: *
Last Name: *
User Name: *
E-mail: *
Phone: *
Choose Speciality*
Please enter the characters shown in box*