HCGTV: Webinar - Chemicals, Drugs, and Substances, Oh My!

This webinar was recorded on February 16th, 2018. The slide deck for this recording is not available. Visit our website for additional education: https://www.thehaugengroup.com/shop/ The coding options for conditions associated with drugs and chemicals are wide and varied. Sorting out the coding guidelines is one thing, but nailing down provider documentation to know where to start looking in the index is another thing all together. In this webinar, we will delve into the coding guidelines and sort substance abuse from poisonings, accidental from undetermined intent, and discuss documentation clues for coding underdosings. Objectives: Determine when to report substance abuse codes with poisoning codes; Identify poisoning intent; List synonyms for underdosing **The coding information and guidance in this video is valid at the time of publishing. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly. 0:00 Introduction 1:24 Objectives 2:26 Code Categories 4:09 Code Structure for F10-F16 and F18- F19 7:19 Code Structure for F17 Nicotine Dependence 13:11 Use vs. Abuse vs. Dependence 16:42 Alcohol Abuse with Withdrawal 20:00 Polling Question #1 20:04 How should alcohol withdrawal without documentation of alcohol dependence be coded? 24:45 Substance Abuse "Disorder" 27:42 When to Use Substance Use Codes 32:10 What About Nicotine? 35:28 Long Term (Current) Drug Therapy 37:14 Blurred Lines: Methadone Maintenance Therapy 39:35 Definitions 40:22 Basic Guidelines for Codes T36-T65 41:43 Use of 7th Characters 41:53 Adverse Effects 42:31 Adverse Effect Example #3 47:36 Examples of Poisoning 48:38 Inhalation of Chemicals, Gases, Fumes, or Vapors 49:41 Polling Question #2 51:05 Poisoning Example #2 56:15 Polling Question #3 56:54 Insulin Pump Malfunction 58:35 Corrosion vs. Poisoning 59:06 Sequencing 59:46 Polling Question #4