Landa,
I am not Rena, but  would like to  respond to the part of your question regarding Prinizide.  Prinizide, Zestoretic, etc are combination products which include an antihypertensive (such as ACE inhibitor or Ca channel blocker) and a diuretic (usually HCTZ)  So these combination products need to be coded as diuretics.
 
As far as Phenobarbital,  the term "anticonvulsant" is a very broad category which encompasses several different drug actions.  Phenobarb is listed under the anticonvulsants (as are valium and Klonopin) but their actions are described according to drug class (ie barbiturate or benzodiazepine)
 
Hope this is helpful.
 
Holly
Holly F. Sox, RN, RAC-C
Clinical Editor
 
----- Original Message -----
Sent: Monday, March 29, 2004 2:12 PM
Subject: Section 04

03/29/04
Good Afternoon,
Rena I am sure you have addressed this before but I would like clarification
from your office if possible.
In section 04 under Intent, Appendix E is referenced. But, then the
clarification states to code drugs according to there classification not how
it is used, which came out after Appendix E.
The confusion: Phenobarbitol is listed under Appendix E as an antianxiety
but other resources such as the Nursing Drug Handbook list it as an
anticonvulsant. How should I code this? The same confusion arises with
Prinizide which is classifed as an Antihypertensive but has diuretic
affects?

Thank you

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