03/29/04 Thank you so much for responding to my question. Can you locate the source document for me that indicates we are to code based on this information? The clarification in the RAI Manual states, "Code according to a drug's pharmacological classification, not how it is used." For example, Serax may be used as a hypnotic but it is classfied as an antianxiety. Serax would be coded as an antianxiety...." CMS does not provide us with the "pharmacological" resource we should refer to other than the very limited Appendix E and even it Appendix E it states for diuretics to "consult pharmacist, the resident's physician, or a drug reference manual." By consulting the pharmacsit, physician etc. are we not trying to determine how it is used which is in direct conflict to the clarification. I have high hopes CMS will clarify this one for us. I appreciate your thoughts.
-----Original Message----- From: Holly Sox, RN, RAC-C [mailto:[EMAIL PROTECTED] Sent: Monday, March 29, 2004 2:53 PM To: [EMAIL PROTECTED] Subject: Re: Section 04 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 www.careplans.com <http://www.careplans.com> [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> ----- Original Message ----- From: Landa Stricklin <mailto:[EMAIL PROTECTED]> To: '[EMAIL PROTECTED]' <mailto:'[EMAIL PROTECTED]'> 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 Notice: The information contained in this email is legally privileged and confidential information intended only for the use of the individual or entity to whom it is addressed. If the reader of this message is not the intended recipient, you are hereby notified that any viewing, dissemination, distribution or copying of this email message is strictly prohibited. If you have received and/or are viewing this email in error, please immediately notify the sender by reply email, and delete this email from your system. Thank you. /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org <http://www.aanac.org> -----------------------------------------------------------/ Notice: The information contained in this email is legally privileged and confidential information intended only for the use of the individual or entity to whom it is addressed. If the reader of this message is not the intended recipient, you are hereby notified that any viewing, dissemination, distribution or copying of this email message is strictly prohibited. If you have received and/or are viewing this email in error, please immediately notify the sender by reply email, and delete this email from your system. Thank you. /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
