Representing Substance 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	HCPCS Level II	Final	Production	No	Free	No
Standard	LOINC®	Final	Production	Yes	Free	No
Standard	SNOMED CT® U.S. Edition	Final	Production	No	Free	No
Standard	CPT®	Final	Production	No	$	No
Standard	Unified Code for Units of Measure	Final	Production	No	Free	N/A

Limitations, Dependencies, and Preconditions for Consideration	Applicable Value Set(s) and Starter Set(s)
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. Units of measure for quantitative result values must be represented using UCUM, see Representing Units of Measure. Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as those who are 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. For more information about observations and observation values, see Appendix III for an informational resource developed by the Health IT Standards Committee.	Drug Abuse Screening Test-10 [DAST-10]: LOINC 82666-9

Limitations, Dependencies, and Preconditions for Consideration

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

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.
Units of measure for quantitative result values must be represented using UCUM, see Representing Units of Measure.
Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as those who are 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.
For more information about observations and observation values, see Appendix III for an informational resource developed by the Health IT Standards Committee.

Drug Abuse Screening Test-10 [DAST-10]: LOINC 82666-9

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.