Transcript MS Diagnostic Coding

MS Procedural Coding
Controlled Drugs
MHA
May 21, 2009
Irene Mueller, EdD, RHIA
Controlled Substances Act of 1971
• Requires that every person who
manufactures, dispenses, prescribes, or
administers any controlled substance be
registered annual with the AG
• Register maintained by DEA
Schedule I Drugs
• - High potential for abuse
– No currently accepted medicinal use in US
– Lack of accepted safety
– Opiates
– Opium derivatives: heroin
– Hallucinogens: LSD, MJ, mescaline, peyote
Schedule II Drugs
• High potential for abuse
– Currently accepted medical use in US
with/wo severe restrictions
– Abuse of drug or other substance may lead
to severe psychological or physical
dependence
– Opium and its derivatives
– Coca leaves and derivatives - cocaine
– Opiates: methadone, diphenoxylate,
– Stimulants: amphetamine, phenmetrazine
– Depressants: secobarbital, pentobarbital
Schedule III Drugs
• Lower abuse potential than I or II drugs
• Currently accepted medical use in US
• Abuse may lead to moderate or low physical
dependence or high psychological dependence.
• Nalorphine
• Combination of barbital with other ingredients
• Compounds of I or II drugs with active nonnarcotic ingredients
Schedule IV Drug
• Low potential for abuse compared to
higher schedule drugs
• Currently accepted medical use in US
• Abuse may lead to limited physical or
psychological dependence relative to III
drugs
• chloral hydrate, diazepam, oxazepam
Schedule V Drugs
• Low abuse potential compared to higher
schedule drugs
• Currently accepted medical use in US
• Abuse may lead to limited physical or
psychological dependence relative to III drugs
• Compounds with lower concentrations than
Schedule III compounds
• Lomatil