Find information on long-term current drug therapy, including clinical documentation requirements, medical coding guidelines, and healthcare best practices. Learn about accurate coding for chronic medication management, long-term drug use, and ongoing pharmaceutical treatment. This resource provides guidance for healthcare professionals on proper documentation and coding related to current long-term drug therapy for optimal reimbursement and patient care. Explore resources for long-term medication management and chronic disease management.
Also known as
Other long term (current) drug therapy
Indicates ongoing use of medications for chronic conditions.
Long term (current) use of opiate analgesic
Identifies ongoing use of opioid pain relievers.
Encounter for antineoplastic chemotherapy
Indicates ongoing chemotherapy treatment for cancer.
Status post organ transplant
Implies long-term immunosuppressant drug therapy.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the long-term drug therapy for a confirmed diagnosis?
Yes
Is the therapy prophylactic?
No
Do not code long-term drug therapy. Code signs/symptoms if present.
When to use each related code
| Description |
|---|
| Long-term (current) drug therapy |
| Adverse effect of medication |
| Non-compliance with medication |
Coding Z79.898, Other long term current drug therapy, without specifying the drug creates audit risks and impacts reimbursement.
Lack of proper documentation confirming long-term drug therapy can lead to coding errors and compliance issues. CDI review needed.
Using Z79.898 when a more specific Z code for the medication exists leads to inaccurate reporting and potential denials. Review guidelines.
Patient presents for ongoing medication management of chronic conditions requiring long-term drug therapy. The patient reports adherence to the prescribed medication regimen. Review of systems reveals stable symptoms controlled by current medications. Current medications include (list medications, dosages, and frequencies). Vital signs are within normal limits. Physical examination is unremarkable and consistent with the patient's established baseline. Assessment: Long-term (current) drug therapy for (list specific conditions being managed, e.g., hypertension, hyperlipidemia, diabetes mellitus type 2). The patient's condition remains stable on the current medication regimen. Plan: Continue current medications as prescribed. Monitor for medication efficacy and adverse effects. Patient education provided regarding medication adherence, potential side effects, and the importance of follow-up appointments. Scheduled follow-up in (timeframe) to reassess medication effectiveness and adjust therapy as needed. Diagnosis codes: (Include relevant ICD-10 codes). Medication codes: (Include relevant RxNorm or NDC codes where appropriate). Keywords: Chronic disease management, medication adherence, long-term medication therapy, prescription medications, pharmaceutical care, medication review, chronic care management, pharmacotherapy, medication reconciliation, medication management, adverse drug reactions, drug interactions, therapeutic drug monitoring, electronic health records, EHR documentation, medical billing, medical coding, ICD-10 codes, RxNorm codes, NDC codes.