Pain Management Contract Agreement Icd 10
We examined the link between patient or drug factors and contract cancellation (Table 3). For these analyses, termination of the contract was defined as a positive UTS for cocaine or marijuana, prescription drug abuse or contract violations (n – 45 patients in total). It did not contain administrative grounds for termination of the contract (n -9). Male sex and combined treatment were significantly associated with conventional cancellations in unadjusted analyses. Among elderly patients (>55) of whom 6% were cancelled, there may have been a trend of less cancellations compared to 17% of 40-55 year olds and 16% of patients <40 years (p – 0.069). There was no difference in the number of patients treated with long-acting Oxycontin (16%) morphine users (19% off). or the reason for opioid use or the type of insurance have been discontinued. Pain is one of the most common reasons people seek medical attention . It is estimated that 14.6% of adults in the United States have regional or generalized chronic pain (≥3 months)  and 25.3 million adults (11.2%) suffer from chronic daily pain . Up to one-third of primary care patients suffer from chronic non-cancerous pain (CNCP) . Opioids are often prescribed to CNCP  in primary care, despite their unproven long-term efficacy for this indication [6, 7]. The medication contract is described in Figure 1 and includes the responsibility of the patient and the physician.
In addition to the diagnosis, nature and dose of prescribed medications, the conditions under which opioids are prescribed or not, and patient responsibility have been defined. Random urine drug testing would be conducted if recommended by the physician to monitor compliance and possible use of illicit substances. Patients were informed that if patient liability was not met, the contract would be terminated. The duties of the physician and/or hospital staff included providing monthly prescriptions on the due date, monitoring the effects of therapy and continuing care. The use of opioid drugs in the treatment of chronic pain is complex and difficult, especially in primary care. Medication contracts are increasingly being used to monitor patient connection, but the long-term outcomes of these contracts are little known. On average, 40.8 (± 57.0) per day were prescribed to patients and 21.5% of patients received ≥50 MME/day and 9.7% received ≥90 MME/day. Younger patients (≥ 65% < 65 years, P 3 vs.
CCI ≤ 3, P -0.03) and reported higher average pain (CCI > 3 average 5.8 [SD ± 2.1] vs.