Representing Drug Use

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Federally required	Cost	Test Tool Availability
Standard	ICD-10-CM	Final	Production	No	Free	No
Standard	RxNorm	Final	Production	No	Free	No
Standard	National Drug Code (NDC)	Final	Production	No	Free	No
Standard	HCPCS	Final	Production	No	Free	No
Standard	LOINC®	Final	Production	No	Free	No
Standard	SNOMED CT® U.S. Edition	Final	Production	No	Free	No
Standard	CPT®-4	Final	Production	No	$	No

Limitations, Dependencies, and Preconditions for Consideration	Applicable Value Set(s) and Starter Set(s)
SNOMED CT U.S. Edition is used to represent conditions, findings and observations. RxNorm and NDC: RxNorm is a terminology built on and derived from other terminologies which represent various elements within RxNorm, including dose form and units of measure. RxNorm reflects and preserves the meanings, drug names, attributes, and relationships from its sources. The use of NDC in conjunction with RxNorm can help minimize gaps in representing medications, including controlled substances as defined and scheduled by the Drug Enforcement Administration. The Drug Abuse Screen Test (DAST-10) was designed to provide a brief, self-report instrument for population screening, clinical case finding and treatment evaluation research. It can be used with adults and older youth. (c)1982 Harvey Skinner, PhD, Centre for Addiction and Mental Health, Toronto, Canada. Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an approach to the delivery of early intervention and treatment to people with alcohol and other substance use disorders and those at risk of developing these disorders. Prescription Drug Monitoring Programs (PDMPs) are electronic databases that track controlled substance prescriptions in a state. More information on standards and implementation specifications in use for the exchange of PDMP data can be found on the Allows for the Exchange of State Prescription Drug Monitoring Program (PDMP) Data ISA page.	Drug Abuse Screening Test-10 [DAST-10] (LOINC code 82666-9) DAST-10 Total Score LOINC code 82667-7 SBIRT Service Codes (CPT 99408, 99409; HCPCS G0396, G0397, H0049, H0050)

Limitations, Dependencies, and Preconditions for Consideration

Applicable Value Set(s) and Starter Set(s)

SNOMED CT U.S. Edition is used to represent conditions, findings and observations.
RxNorm and NDC:
- RxNorm is a terminology built on and derived from other terminologies which represent various elements within RxNorm, including dose form and units of measure. RxNorm reflects and preserves the meanings, drug names, attributes, and relationships from its sources.
- The use of NDC in conjunction with RxNorm can help minimize gaps in representing medications, including controlled substances as defined and scheduled by the Drug Enforcement Administration.
The Drug Abuse Screen Test (DAST-10) was designed to provide a brief, self-report instrument for population screening, clinical case finding and treatment evaluation research. It can be used with adults and older youth.
- (c)1982 Harvey Skinner, PhD, Centre for Addiction and Mental Health, Toronto, Canada.
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an approach to the delivery of early intervention and treatment to people with alcohol and other substance use disorders and those at risk of developing these disorders.
Prescription Drug Monitoring Programs (PDMPs) are electronic databases that track controlled substance prescriptions in a state. More information on standards and implementation specifications in use for the exchange of PDMP data can be found on the Allows for the Exchange of State Prescription Drug Monitoring Program (PDMP) Data ISA page.

Drug Abuse Screening Test-10 [DAST-10] (LOINC code 82666-9)
DAST-10 Total Score LOINC code 82667-7
SBIRT Service Codes (CPT 99408, 99409; HCPCS G0396, G0397, H0049, H0050)

Comment

Submitted by pwilson@ncpdp.org on 2021-09-29

NCPDP Comments

NCPDP supports the use of SNOMED CT.

Submitted by mattreid on 2020-03-26

The AMA requests that the…

The AMA requests that the Current Procedural Terminology (CPT) code set be added to the standards listed in Section I: Representing Drug Use. CPT codes 99408 and 99409 identify patient screening and intervention for substance abuse. CPT codes 80320 – 80377 identify definitive drug testing. In addition, CPT Category II codes identify a patient screened for injection drug use (4290F) and counseled for pharmacologic treatment for opioid addiction (4306F). CPT is a comprehensive and regularly curated uniform language that accurately describes medical, surgical, and diagnostic services and provides for reliable communication among users. It has an extremely robust and mature development process with open and transparent meetings and clinical input from national medical specialties and relevant stakeholders. It is the most widely adopted outpatient procedure code set. Use of the CPT code set is federally required under HIPAA.

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Representing Drug Use

Comment

NCPDP Comments

The AMA requests that the…