This form documents the review of drug testing, medical records, functional status, use and abuse, and treatment plans for opioid management. It can be utilized as a medical record document to justify billing for opioid management.
Per Colorado Division of Workers' Compensation Rule 18, opioid management can be billed with these codes:
Acute Phase, DOWC Code Z0771 ($84.00 per 15 minutes, maximum of 30 minutes per report)
Subacute/Chronic Phase, DOWC Code Z0765 ($84.00 per 15 minutes, maximum of 30 minutes per report)
