Drug list for Assigning steroid -03 code ext in DCU

[Alshulaylan]

In the intricate landscape of medical coding, precision is the linchpin of accurate patient care and reimbursement. To empower medical coders in the Daycare Unit (DCU), we present a comprehensive drug list endorsed by the SFDA, showcasing synthetic glucocorticoids. This classification, a subset of the broader corticosteroid family, serves as a cornerstone in the treatment of various medical conditions.

Methylprednisolone is classified as a synthetic glucocorticoid. It is primarily recommended for its potent anti-inflammatory and immunosuppressive properties. Medical professionals may prescribe it in low doses for managing chronic illnesses or, alternatively, administer it at higher doses during acute flares of certain conditions. Methylprednisolone and its derivatives can be taken orally or through parenteral routes, providing flexibility in treatment options.

Dexamethasone is classified as a glucocorticoid medication, finds application in the treatment of various medical conditions. It is a versatile solution for addressing rheumatic disorders, multiple skin diseases, severe allergic reactions, asthma, chronic obstructive lung disease, croup, cerebral edema, post-eye surgery eye pain, and superior vena cava syndrome, a complication associated with certain cancer forms. Dexamethasone is also employed alongside antibiotics to combat tuberculosis effectively. When managing adrenocortical insufficiency, it can be paired with a mineralocorticoid medication like fludrocortisone. Furthermore, in cases of preterm labor, it proves beneficial in enhancing outcomes for the baby. Dexamethasone can be administered orally, via intramuscular injection, intravenous injection, or topically as a cream, ointment, or ophthalmic solution for the eye. Typically, the effects of dexamethasone become noticeable within a day and endure for approximately three days.

Hydrocortisone is the pharmaceutical term for the natural hormone cortisol, serves a valuable role as a medication in a spectrum of medical applications. Its uses encompass conditions like adrenocortical insufficiency, adrenogenital syndrome, elevated blood calcium levels, thyroiditis, rheumatoid arthritis, dermatitis, asthma, and chronic obstructive pulmonary disease (COPD). In cases of adrenocortical insufficiency, it stands as the preferred treatment option. Hydrocortisone can be administered orally, applied topically, or delivered via injection. Importantly, when discontinuing extended treatment, a gradual tapering of the medication is advisable.

Prednisolone is classified as a corticosteroid and steroid hormone, serves as a therapeutic agent for various medical conditions. It is particularly effective in managing specific allergies, inflammatory disorders, autoimmune conditions, and certain forms of cancer. These conditions encompass adrenocortical insufficiency, elevated blood calcium levels, rheumatoid arthritis, dermatitis, eye inflammation, asthma, and multiple sclerosis. Prednisolone can be administered orally, intravenously, topically in the form of a skin cream, or as eye drops. Notably, it distinguishes itself from the similarly named prednisone due to the presence of a hydroxyl group at the 11th carbon position instead of a ketone.

Betamethasone is a steroid medication, serves as a therapeutic solution for a range of medical conditions. It finds its application in the treatment of rheumatic disorders like rheumatoid arthritis and systemic lupus erythematosus, as well as skin ailments such as dermatitis and psoriasis. Additionally, it addresses allergic conditions like asthma and angioedema, plays a role in facilitating lung development in preterm labor, and aids in managing conditions like Crohn's disease and certain cancers such as leukemia. Moreover, in conjunction with fludrocortisone, it assists in cases of adrenocortical insufficiency. This versatile medication can be administered through various methods, including oral ingestion, intramuscular injection, or topical application in the form of creams, lotions, or liquids.

Triamcinolone: is classified as a glucocorticoid, finds its application in the treatment of specific skin ailments, allergic reactions, and rheumatic conditions, among other uses. It's also prescribed to prevent the deterioration of asthma and chronic obstructive pulmonary disease (COPD). This versatile medication can be administered through different routes, such as oral ingestion, intramuscular injection, and inhalation.


This invaluable drug list equips medical coders with the knowledge needed to accurately assign -03 code extensions in the DCU

I encourage you to download the attached excel file for more information about the drugs such as the trade name which is useful to identify them when you read the medication list in the patient's record.


Remember
1920 Administration of pharmacotherapy
-03 Steroid
Corticosteroid

Excludes: when used in the treatment of neoplasms and/or neoplasm related conditions (-00)







References:

Wikipedia Contributors. Glucocorticoid. Wikipedia. Published August 24, 2023. Accessed October 26, 2023. https://en.wikipedia.org/wiki/Glucocorticoid
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Betamethasone (Systemic) Monograph for Professionals. Drugs.com. Published 2023. Accessed October 26, 2023. https://www.drugs.com/monograph/betamet ... temic.html

Triamcinolone (Systemic) Monograph for Professionals. Drugs.com. Published 2023. Accessed October 26, 2023. https://www.drugs.com/monograph/triamci ... temic.html
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PrednisoLONE (Systemic) Monograph for Professionals. Drugs.com. Published 2023. Accessed October 26, 2023. https://www.drugs.com/monograph/prednis ... temic.html

Hydrocortisone (Systemic) Monograph for Professionals. Drugs.com. Published 2023. Accessed October 26, 2023. https://www.drugs.com/monograph/hydroco ... temic.html

Dexamethasone (Systemic) Monograph for Professionals. Drugs.com. Published 2023. Accessed October 26, 2023. https://www.drugs.com/monograph/dexamet ... temic.html

Wikipedia Contributors. Methylprednisolone. Wikipedia. Published October 16, 2023. Accessed October 26, 2023. https://en.wikipedia.org/wiki/Methylprednisolone
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Drugs List | Saudi Food and Drug Authority. Sfda.gov.sa. Published 2023. Accessed October 26, 2023. https://www.sfda.gov.sa/en/drugs-list?T ... egNo=&pg=1
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