The Nevada State Board of Health has approved final regulations to implement the provisions of Assembly Bill 474, the Controlled Substance Abuse Prevention Act. The regulations now lay out procedures for reporting cases or suspected cases of drug overdose to the State of Nevada's Chief Medical Officer. A provider of health care shall report the name, address, telephone number, sex, race, ethnicity, and date of birth of the patient who suffered the drug overdose or suspected drug overdose, the medical record number of the patient, the date on which the overdose or suspected overdose occurred, a statement of the disposition of the patient, and the ICD10 code(s) corresponding to the overdose or suspected overdose.
A medical facility that may have more than one provider of health care provide services to a patient who has suffered a drug overdose or suspected drug overdose shall adopt administrative procedures to ensure that only one such provider of health care makes the report of the drug overdose required by subsection 2 of NRS 441A.150.
Not later than 7 days after the date on which the provider of health care first learned of the drug overdose or suspected drug overdose (Not calendar-able, reporting occurs as event occurs)
Clarity web-based reporting is a more convenient and user-friendly submission method that allows providers to quickly and securely complete the elements of mandatory reporting. Providers wishing to establish a Clarity account can contact Devin Gamboa at:
•Fax reporting to the Division of Public and Behavioral Health at (775) 684-5999.
•Electronic batch reporting
NRS 441A.920 Criminal penalty and administrative fine for failure to comply with regulations or requirements of chapter. Every provider of health care, medical facility or medical laboratory that willfully fails, neglects or refuses to comply with any regulation of the Board relating to the reporting of a communicable disease or drug overdose or any requirement of this chapter is guilty of a misdemeanor and, in addition, may be subject to an administrative fine of $1,000 for each violation, as determined by the Board.
T40 Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens]
T41.1 Poisoning by, adverse effect of and underdosing of intravenous anesthetics
T42 Poisoning by, adverse effect of and underdosing of antiepileptic, sedative- hypnotic and antiparkinsonism drugs
T43 Poisoning by, adverse effect of and underdosing of psychotropic drugs, not elsewhere classified
For a full list of these codes, please see "Opioid Reporting ICD10 Codes T40, T41.1, T42, T43" attachment below.
The 4 T-codes include such items as initial encounters, subsequent encounters, sequela, and adverse effects of for a range of substances including alcohol, marijuana, mental health prescriptions, and more. This goes well beyond the intent of AB474 (opioids overdoses) but must continue to be reported on until such time as the Division adopts new regulations.
Originating Legislation: AB474 (2017)