Of these states, seven have also legalized marijuana for recreational use in addition to medical marijuana.
Legalized marijuana and claims
In states where medical marijuana has been legalized, they specify
qualifying conditions for which marijuana can be prescribed. Here
in the property and casualty (P&C) industry, we are concerned with
those conditions related to workers’ compensation and auto accidents. Although the conditions for prescribing medical marijuana
differ from state to state, there are many similarities.
Conditions such as pain, spinal cord injury, traumatic brain
injuries, muscle spasms, post-traumatic stress syndrome and
more can be seen in accident injury cases. Some states even have
“other chronic or persistent medical conditions” approved for
prescription, which can lead to seeing claims where the doc-
tor is prescribing for non-specific diagnoses. Insurers should
be aware that non-specific diagnoses codes can appear on sub-
mitted medical bills using the International Classification of
Diseases – 10th Revision, Clinical Modification (ICD-10-CM),
using the following example codes:
M79.604 – Pain in right lower limb, not otherwise specified
G89.21 – Chronic pain due to trauma
M54.5 – Low back pain
When pain is the only diagnosis on the bill (claim), it is probably best to request additional codes to isolate the injury. For the
ICD-10-CM, G89 codes may be used in conjunction with codes
from other categories and chapters to provide more detail about
acute or chronic pain and neoplasm‐related pain, unless otherwise indicated in other guidelines.
Legalized marijuana and workplace
A major concern with patients using medical marijuana is the effect it may have on them while at work and operating equipment
MARIJUANA LEGALIZATION IN THE U.S.