Diagnosis Code on Opioid Prescriptions Rule Takes Effect Dec. 29, 2017

The State of Ohio Board of Pharmacy (BOP) reports that rule 4729-5-30 of the Ohio Administrative Code takes effect on Dec. 29, 2017. This rule (known as the ICD-10 Requirement) requires prescribers to indicate the first four alphanumeric characters of the ICD-10 medical diagnosis code (eg, M16.5) on all opioid analgesic prescriptions.

The diagnosis/procedure code requirements are effective for all opioid prescriptions beginning Dec. 29, 2017, and the requirements for all other controlled substances will be effective June 1, 2018.

Days’ Supply

This rule requires prescribers to include the days’ supply (ie, minimum number of days) that the prescription for a controlled substance or gabapentin should last the patient. This requirement will take effect Dec. 29, 2017.

Written, Faxed and Electronic Prescriptions

This rule changes the requirements for these types of prescriptions. Except in limited circumstances, prescribers can no longer transmit prescriptions using a transmission system that converts the prescription into a computer-generated fax or scanned image. Click here for more information on the exceptions.

The BOP has developed several resources to assist in the implementation of Rule 4729-5-30. Click here for Guidance on Issuing a Valid Prescription. And click here to learn more about Limits on Prescription Opioids for Acute Pain.

The State Medical Board of Ohio website, www.med.ohio.gov, also contains additional information about this issue and related topics—click on the Resources tab, then choose the Prescriber Resources option.

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