MS Procedural Coding Controlled Drugs MHA May 21, 2009 Irene Mueller, EdD, RHIA

Controlled Substances Act of 1971 Requires that every person who manufactures, dispenses, prescribes, or administers any controlled substance be registered annual with the AG Register maintained by DEA

Schedule I Drugs - High potential for abuse –No currently accepted medicinal use in US –Lack of accepted safety –Opiates –Opium derivatives: heroin –Hallucinogens: LSD, MJ, mescaline, peyote

Schedule II Drugs High potential for abuse –Currently accepted medical use in US with/wo severe restrictions –Abuse of drug or other substance may lead to severe psychological or physical dependence –Opium and its derivatives –Coca leaves and derivatives - cocaine –Opiates: methadone, diphenoxylate, –Stimulants: amphetamine, phenmetrazine –Depressants: secobarbital, pentobarbital

Schedule III Drugs Lower abuse potential than I or II drugs Currently accepted medical use in US Abuse may lead to moderate or low physical dependence or high psychological dependence. Nalorphine Combination of barbital with other ingredients Compounds of I or II drugs with active non- narcotic ingredients

Schedule IV Drug Low potential for abuse compared to higher schedule drugs Currently accepted medical use in US Abuse may lead to limited physical or psychological dependence relative to III drugs chloral hydrate, diazepam, oxazepam

Schedule V Drugs Low abuse potential compared to higher schedule drugs Currently accepted medical use in US Abuse may lead to limited physical or psychological dependence relative to III drugs Compounds with lower concentrations than Schedule III compounds Lomatil