icd 10 cm code for effexor xr

by Clarabelle Schuppe Sr. 5 min read

84.

Precautions

In the clinical trials establishing the efficacy of Effexor XR in moderately depressed outpatients, the initial dose of venlafaxine was 75 mg/day. For some patients, it may be desirable to start at 37.5 mg/day for 4 to 7 days, to allow new patients to adjust to the medication before increasing to 75 mg/day.

What is the initial dose of Effexor XR for depression?

Insomnia and nervousness each led to drug discontinuation in 0.9% of the patients treated with Effexor XR in major depressive disorder studies.

What causes discontinuation of Effexor XR for major depressive disorder?

DESCRIPTION Effexor XR is an extended-release capsule for once-a-day oral administration that contains venlafaxinehydrochloride, a serotoninand norepinephrinereuptakeinhibitor (SNRI).

What is in Effexor XR pill?

 Take EFFEXOR XR exactly as prescribed. Your healthcare provider may need to change the dose of EFFEXOR XR until it is the right dose for you. EFFEXOR XR is to be taken with food.  If you miss a dose of EFFEXOR XR , take the missed dose as soon as you remember.

What should I do if I miss a dose of Effexor XR?

image

What is the code z76 89 for?

Persons encountering health services in other specified circumstances89 for Persons encountering health services in other specified circumstances is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the ICD-10 code for antidepressant?

ICD-10 Code for Adverse effect of unspecified antidepressants- T43. 205- Codify by AAPC.

Is R05 9 a valid diagnosis code?

R05. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is R53 81 diagnosis?

R53. 81: “R” codes are the family of codes related to "Symptoms, signs and other abnormal findings" - a bit of a catch-all category for "conditions not otherwise specified". R53. 81 is defined as chronic debility not specific to another diagnosis.

What is the ICD-10 code for depression with anxiety?

2 Mixed anxiety and depressive disorder.

What are venlafaxine used for?

It's used to treat depression and sometimes anxiety and panic attacks. Venlafaxine can help people recover from depression, and has fewer side effects than some older antidepressants. It comes as tablets and capsules which are available only on prescription.

What is the new ICD-10 code for R05?

1 (Acute cough) R05. 2 (Subacute cough)

Can R05 be a primary diagnosis?

2) and cough (R05) as the primary diagnosis. They are stating these are symptoms caused by an underlying diagnosis such as asthma, respiratory syncytial virus, pneumonia, bronchitis, bronchiectasis, just to name a few.

What is the diagnosis for ICD-10 code r50 9?

9: Fever, unspecified.

What is R53 82 diagnosis?

ICD-10 code R53. 82 for Chronic fatigue, unspecified is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What diagnosis is M62 81?

ICD-10 code M62. 81 for Muscle weakness (generalized) is a medical classification as listed by WHO under the range - Soft tissue disorders .

What is the difference between R53 1 and M62 81?

M62. 81 Muscle Weakness (generalized) Specify etiology of weakness, such as musculoskeletal disorder, stroke, brain injury, etc. R53. 1 Weakness Specify etiology of weakness, such as musculoskeletal disorder, stroke, brain injury, etc.

Is R05 a valid diagnosis code for 2021?

R05 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2022 edition of ICD-10-CM R05 became effective on October 1, 2021. This is the American ICD-10-CM version of R05 - other international versions of ICD-10 R05 may differ.

What is unspecified asthma?

A chronic disease in which the bronchial airways in the lungs become narrowed and swollen, making it difficult to breathe. Symptoms include wheezing, coughing, tightness in the chest, shortness of breath, and rapid breathing.

What is the diagnosis code for Headache?

Code R51 is the diagnosis code used for Headache. It is the most common form of pain.

What is ICD-10 code for unintentional weight loss?

ICD-10 Code for Abnormal weight loss- R63. 4- Codify by AAPC.

How to administer effexor XR?

Effexor XR should be administered in a single dose with food, either in the morning or in the evening at approximately the same time each day [see CLINICAL PHARMACOLOGY ]. Each capsule should be swallowed whole with fluid and not divided, crushed, chewed, or placed in water or it may be administered by carefully opening the capsule and sprinkling the entire contents on a spoonful of applesauce. This drug/food mixture should be swallowed immediately without chewing and followed with a glass of water to ensure complete swallowing of the pellets (spheroids).

What is Effexor XR used for?

Effexor XR is a prescription medicine used to treat the symptoms of depression, generalized anxiety, social anxiety and panic disorder. Effexor XR may be used alone or with other medications.

How many capsules are in Effexor XR?

Effexor XR ® (venlafaxine hydrochloride) extended-release capsules are available in the following strengths: 37.5 mg capsules (grey cap/peach body with “W” and “Effexor XR” on the cap and “37.5” on the body) 75 mg capsules (pe ach cap and body with “W” and “E ffexor XR” on the cap and “ 75” on the body)

How long does it take for Effexor XR to work?

Effexor XR is indicated for the treatment of Social Anxiety Disorder (SAD), also known as social phobia. Efficacy was established in four 12-week and one 26-week, placebo-controlled trials.

How long does venlafaxine last?

Venlafaxine was given by oral gavage to mice for 18 months at doses up to 120 mg/kg per day, which was 1.7 times the maximum recommended human dose on a mg/m 2 basis. Venlafaxine was also given to rats by oral gavage for 24 months at doses up to 120 mg/kg per day.

How much sulfate is recommended for a person with a syphilis disorder?

The recommended dose is 75 mg per day, administered in a single dose. There was no evidence that higher doses confer any additional benefit.

Does effexor increase blood pressure?

In placebo-controlled premarketing studies, there were increases in mean blood pressure (see Table 10). Across most indications, a dose-related increase in mean supine systolic and diastolic blood pressure was evident in patients treated with Effexor XRs. Across all clinical studies in MDD, GAD, SAD and PD, 1.4% of patients in the Effexor XR groups experienced an increase in SDBP of ≥15 mm Hg along with a blood pressure ≥ 105 mm Hg, compared to 0.9% of patients in the placebo groups. Similarly, 1% of patients in the Effexor XR groups experienced an increase in SSBP of ≥ 20 mm Hg with a blood pressure ≥ 180 mm Hg, compared to 0.3% of patients in the placebo groups.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, §1833 (e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim.

Article Guidance

The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for MolDX: Pharmacogenomics Testing L38294.

ICD-10-CM Codes that Support Medical Necessity

The following codes are for reference use only and are not to imply medical necessity or lack of medical necessity.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

How long does Effexor XR last?

Effexor XR (venlafaxine hydrochloride) extended-release capsules treatment for up to 12 weeks in premarketing placebo-controlled trials for major depressive disorder was associated with a mean final on-therapy increase in serum cholesterol concentration of approximately 1.5 mg/dL compared with a mean final decrease of 7.4 mg/dL for placebo. Effexor XR treatment for up to

Where is venlafaxine metabolized?

Venlafaxine is well absorbed and extensively metabolized in the liver. O-desmethylvenlafaxine (ODV) is the only major active metabolite. On the basis of mass balance studies, at least 92% of

Is venlafaxine excreted in milk?

Venlafaxine and ODV have been reported to be excreted in human milk. Because of the potential for serious adverse reactions in nursing infants from Effexor XR, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.

Is Venlafaxine mutagenic?

Venlafaxine and the major human metabolite, O-desmethylvenla faxine ( ODV), were not mutagenic in the Ames reverse mutation assay in Salmonella bacteria or the Chinese hamster ovary/HGPRT mammalian cell forward gene mutation assay. Venlafaxine was also not mutagenic or clastogenic in the in vitro BALB/c-3T3 mouse cell transformation assay, the sister chromatid exchange assay in cultured Chinese hamster ovary cells, or in the in vivo chromosomal aberration assay in rat bone marrow. ODV was not clastogenic in the in vitro Chinese hamster ovary cell chromosomal aberration assay, but elicited a clastogenic response in the in vivo chromosomal aberration assay in rat bone marrow.

Is venlafaxine a weak inhibitor of CYP2D6?

CYP2D6: In vitro studies indicate that venlafaxine is a relatively weak inhibitor of CYP2D6. These findings have been confirmed in a clinical drug interaction study comparing the effect of venlafaxine with that of fluoxetine on the CYP2D6-mediated metabolism of dextromethorphan to dextrorphan.

Does Venlafaxine increase free concentration?

Venlafaxine is not highly bound to plasma proteins; therefore, administration of Effexor XR to a patient taking another drug that is highly protein bound should not cause increased free concentrations of the other drug.

Does venlafaxine affect ODV?

Under steady-state conditions for venlafaxine administered at 150 mg/day, a single 10 mg dose of diazepam did not appear to affect the pharmacokinetics of either venlafaxine or ODV in 18 healthy male subjects. Venlafaxine also did not have any effect on the pharmacokinetics of diazepam or its active metabolite, desmethyldiazepam, or affect the psychomotor and psychometric effects induced by diazepam.

What is Effexor XR?

Effexor XR is indicated for the treatment of Generalized Anxiety Disorder (GAD) as defined in DSM-IV. Anxiety or tension associated with the stress of everyday life usually does not require treatment with an anxiolytic.

How to administer effexor XR?

Effexor XR should be administered in a single dose with food either in the morning or in the evening at approximately the same time each day. Each capsule should be swallowed whole with fluid and not divided, crushed, chewed, or placed in water, or it may be administered by carefully opening the capsule and sprinkling the entire contents on a spoonful of applesauce. This drug/food mixture should be swallowed immediately without chewing and followed with a glass of water to ensure complete swallowing of the pellets.

How many beats per minute does Effexor have?

In a flexible-dose study, with Effexor (immediate release) doses in the range of 200 to 375 mg/day and mean dose greater than 300 mg/day, the mean change in heart rate was 8.5 beats per minute compared with 1.7 beats per minute for placebo.

How long does Effexor XR last?

Effexor XR treatment for up to 8 weeks and up to 6 months in premarketing placebo-controlled GAD trials was associated with mean final on-therapy increases in serum cholesterol concentration of approximately 1.0 mg/dL and 2.3 mg/dL, respectively while placebo subjects experienced mean final decreases of

Can you taper Effexor XR during the third trimester?

The physician may consider tapering Effexor XR in the third trimester.

Is venlafaxine a causal factor?

Voluntary reports of other adverse events temporally associated with the use of venlafaxine that have been received since market introduction and that may have no causal relationship with the use of venlafax ine include the following: agranulocytosis, anaphylaxis, angioedema, aplastic anemia, catatonia, congenital anomalies, impaired coordination and balance, CPK increased, deep vein thrombophlebitis, delirium, EKG abnormalities such as QT prolongation; cardiac arrhythmias including atrial fibrillation, supraventricular tachycardia, ventricular extrasystoles, and rare reports of ventricular fibrillation and ventricular tachycardia, including torsade de pointes; toxic epidermal necrolysis/Stevens-Johnson Syndrome, erythema multiforme, extrapyramidal symptoms (including dyskinesia and tardive dyskinesia), angle-closure glaucoma, hemorrhage (including eye and gastrointestinal bleeding), hepatic events (including GGT elevation; abnormalities of unspecified liver function tests; liver damage, necrosis, or failure; and fatty liver), interstitial lung disease, involuntary movements, LDH increased, neutropenia, night sweats, pancreatitis, pancytopenia, panic, prolactin increased, renal failure, rhabdomyolysis, shock-like electrical sensations or tinnitus (in some cases, subsequent to the discontinuation of venlafaxine or tapering of dose), and syndrome of inappropriate antidiuretic hormone secretion (usually in the elderly).

Is venlafaxine excreted in milk?

Venlafaxine and ODV have been reported to be excreted in human milk. Because of the potential for serious adverse reactions in nursing infants from Effexor XR, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.

What Are the Side Effects of Effexor XR?

This is not a complete list of side effects, and others may occur. A medical professional can advise you on side effects. If you experience other effects, contact your pharmacist or a medical professional. You may report side effects to the FDA at www.fda.gov/medwatch or 1-800-FDA-1088.

What Other Medications Interact With Effexor XR?

Some medications can interact with Effexor XR, increasing the risk of serotonin syndrome.

How Can I Stay Healthy While Taking Effexor XR?

If you are taking Effexor XR, it is important to take it as directed. Tell your healthcare provider if you develop any new medical conditions while you are already taking Effexor XR, because this may require a dose change.

image