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2020 iCD-10-Cm 1285 Appendix A: Z Codes for Long-term Use of Drugs Drug name Code Code Descriptor A-G Profen® Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID) Abstral® Z79.891 Long term (current) use of opiate analgesic acarbose Z79.84 Long term (current) use of oral hypoglycemic drugs ICD-9-CM and ICD-10-CM codes in any position were used to determine on-label and off-label indications. On-label indications were defined as gabapentin’s FDA-approved indications for partial-onset seizures and PHN, which were determined by ICD-9-CM and ICD-10-CM codes based on past studies that assessed these conditions ( 21 – 23 ). Long Term (Current) Drug Therapy Z79.3 Long-Term Current Use Of Hormonal Contraceptives Z79.891 Long-Term Current Use Of Opiate Analgesic Z79.899 Other Long-Term Current Drug Therapy Page 5 of 14 Pain Management | Top Mappings CONDITION(S) ICD-10-CM DESCRIPTION Z79.891 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM Z79.891 became effective on October 1, 2024. This is the American ICD-10-CM version of Z79.891 - other international versions of ICD-10 Z79.891 may differ. F13.20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM F13.20 became effective on October 1, 2024. This is the American ICD-10-CM version of F13.20 - other international versions of ICD-10 F13.20 may differ. Beginning October 1, 2018, ICD-10 diagnosis codes were added to further specify the classification of drugs to which a newborn may have been exposed to prenatally (See Table). These codes are listed underneath the code “Newborn affected by noxious substances transmitted via placenta or breast milk”. G62.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM G62.0 became effective on October 1, 2024. This is the American ICD-10-CM version of G62.0 - other international versions of ICD-10 G62.0 may differ. F11.10 MODERATE F11.20 SEVERE F11.20 Alcohol Use Disorder MILD Beer, liquor, etc. F10.10 MODERATE F10.20 SEVERE F10.20 Cannabis Use Disorder MILD Marijuana and marijuana-related products F12.10 MODERATE F12.20 SEVERE F12.20 Stimulant Use Disorder- Amphetamine-Type Substance MILD Methamphetamine (crystal meth, crank, speed, tweek, glass, etc F19.10 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM F19.10 became effective on October 1, 2024. This is the American ICD-10-CM version of F19.10 - other international versions of ICD-10 F19.10 may differ. gabapentin (gabapentin visits) for adults (ages $18) (N55,732). FDA-approved uses and off-label psychiatric use indications were identified with ICD-9-CM and ICD-10-CM diagnosis codes. CNS-D drugs examined were opioids, benzodiazepines, sedatives-hypnotics, antide-pressants, antipsychotics, first-generation antihistamines, Added GCNs for Gralise (54018, 54019, 54021) and Neurontin (94624) to the Supporting Tables section. The listed GCNS may not be an indication of TX Medicaid Formulary coverage. To learn the current formulary coverage, visit TxVendorDrug.com/formulary/formulary-search. 1. Is the client greater than or equal to (≥) 18 years of age? 2. Z79.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Long term (current) use of non-steroidal non-inflam (NSAID) The 2025 edition of ICD-10-CM Z79.1 became effective on October 1, 2024. F19.20 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM F19.20 became effective on October 1, 2024. This is the American ICD-10-CM version of F19.20 - other international versions of ICD-10 F19.20 may differ. Criteria for Neurontin agents will not be implemented. Criteria for Gralise and Horizant agents will be implemented as originally written. Adjusted criteria steps are outlined/highlighted in yellow. • Drugs requiring prior authorization: the list of drugs requiring prior authorization for this clinical criteria. Z79.899 is a billable diagnosis code used to specify a medical diagnosis of other long term (current) drug therapy. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2024 through September 30, 2025. F55.8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM F55.8 became effective on October 1, 2024. This is the American ICD-10-CM version of F55.8 - other international versions of ICD-10 F55.8 may differ. ICD-10 code Z79.891 for Long term (current) use of opiate analgesic is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services . Fill out the form below to download your FREE ICD-10-CM whitepaper. Long term (current) use of methadone for pain management. Z79. Z79.899 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM Z79.899 became effective on October 1, 2024. This is the American ICD-10-CM version of Z79.899 - other international versions of ICD-10 Z79.899 may differ. any long-term (current) drug therapy (Z79.-) "Includes" further defines, or give examples of, the content of the code or category. T42.6X5A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Adverse effect of antiepileptic and sed-hypntc drugs, init The 2025 edition of ICD-10-CM T42.6X5A became effective on October 1, 2024.
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