Substance Related and Addictive Disorders: Flashcards
Substance use disorder
Substance use disorder pt 2
Alcohol Use Disorder pt 1
A. A problematic pattern of alcohol use leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a 12-month period:
1. Alcohol is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
3.A greatdeal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects.
4. Craving, or a strong desire or urge to use alcohol.
5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, ‘school, or home.
6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol.
7. Important social, occupational, or recreational activities are given upor reduced because of alcohol use.
8. Recurrent alcohol use insituations in which it is physically hazardous.
9. Alcohol use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely tohave been caused or exacerbated by alcohol.
10. Tolerance, as defined by either of the following:
a. Aneed for markedly increased amounts of alcohol to achieve intoxication or desired effect.
b. Amarkedly diminished effect with continued use of the same amount of alcohol.
11. Withdrawal, as manifested by either of the following:
a. The characteristic withdrawal syndrome for alcohol (refer to Criteria A and B of the criteria set for alcohol withdrawal, pp. 499-500).
b. Alcohol (or a closely related substance, such as a benzodiazepine)is taken to relieve or avoid withdrawal symptoms.
Specify if:
-In early remission: After full criteria for alcohol use disorder were previously met, none ofthe criteria for alcohol use disorder have been met for at least3months butfor
less than 12 months (with the exception that Criterion A4, “Craving, or a strong desire or urge to use alcohol,” may be met).
-In sustained remission: After full criteria for alcohol use disorder were previously met, none of the criteria for alcohol use disorder have been met at any time during a
period of 12 months or longer (with the exception that Criterion A4, “Craving, or a strong desire or urge touse alcohol,” may bemet).
Specify it:
In a controlled environment: This additional specifier is used ifthe individual is in an environment where access toalcohol is restricted.
…………
Code based on current severity: Note for ICD-10-CM codes: If an alcohol intoxication, alcohol withdrawal, or another alcohol-induced mental disorder is also present, do not use
the codes below for alcohol use disorder. Instead, the comorbid alcohol use disorder is indicated in the 4th character of the alcohol-induced disorder code (see the coding note
for alcohol intoxication, alcohol withdrawal, or a specific alcohol-induced mental disorder). For example, if there is comorbid alcohol intoxication and alcohol use disorder, only the alcohol intoxication code is given, with the 4th character indicating whether the comorbid alcohol use disorder is mild, moderate, or severe: F10.129 for mild alcohol use disorder
with alcohol intoxication or F10.229 for a moderate orsevere alcohol use disorder with alcohol intoxication.
Specify current severity:
305.00 (F10.10) Mild: Presence of 2-3 symptoms.
303.90 (F 10.20) Moderate: Presence of 4-5 symptoms.
303.90 (F10.20) Severe: Presence of 6 or more
Cannabis Use Disorder pt 1
A. A problematic pattern of cannabis use leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a 12-month period:
1. Cannabis is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control cannabis use.
3. A great deal of time is spent in activities necessary to obtain cannabis, use cannabis, or recover from its effects.
4. Craving, or a strong desire or urge to use cannabis.
5. Recurrent cannabis use resulting in a failure to fulfill major role obligations at work, school, or home.
6. Continued cannabis use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of cannabis.
7. Important social, occupational, or recreational activities are given up or reduced because of cannabis use.
8. Recurrent cannabis use in situations in which it is physically hazardous.
9. Cannabis use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by cannabis.
10. Tolerance, as defined by either of the following:
a. A need for markedly increased amounts of cannabis to achieve intoxication or desired effect.
b. Markedly diminished effect with continued use of the same amount of cannabis.
11. Withdrawal, as manifested by either of the following:
a. The characteristic withdrawal syndrome for cannabis (refer to Criteria A and B of the criteria set for cannabis withdrawal, pp. 517-518).
b. Cannabis (or a closely related substance) is taken to relieve or avoid withdrawal symptoms.
Specify if:
In early remission: After full criteria for cannabis use disorder were previously met, none of the criteria for cannabis use disorder have been met for at least 3 months but
for less than 12 months (with the exception that Criterion A4, “Craving, or a strong desire or urge to use cannabis,” may be met).
In sustained remission: After full criteria for cannabis use disorder were previously met, none of the criteria for cannabis use disorder have been met at any time during a
period of 12 months or longer (with the exception that Criterion A4, “Craving, or a strong desire or urge to use cannabis,” may be present).
Specify if:
In a controlled environment: This additional specifier is used if the individual is in an environment where access to cannabis is restricted.
……………
Code based on current severity: Note for |CD-10-CM codes: If a cannabis intoxication, cannabis withdrawal, or another cannabis-induced mental disorder is also present, do not
use the codes below forcannabis use disorder. Instead, the comorbid cannabis use disorder is indicated in the 4th character of the cannabis-induced disorder code (see the coding note for cannabis intoxication, cannabis withdrawal, or a specific cannabis-induced mental disorder). For example, if there is comorbid cannabis-induced anxiety disorder and cannabis use disorder, only the cannabis-induced anxiety disorder code is given, with the 4th character
indicating whether the comorbid cannabis use disorder is mild, moderate, or severe:
F12.180 for mild cannabis use disorder with cannabis-induced anxiety disorder or F12.280
for a moderate or severe cannabis use disorder with cannabis-induced anxiety disorder.
Specify current severity:
305.20 (F12.10) Mild: Presence of 2-3 symptoms.
304.30 (F12.20) Moderate: Presence of 4—5 symptoms.
304.30 (F12.20) Severe: Presence of 6 or more symptoms.
Other or unknown Substance Use Disorder pt 1
A. A problematic pattern of use of an intoxicating substance not able to be classified within the alcohol; caffeine; cannabis; hallucinogen (phencyclidine and others); inhalant; opioid; sedative, hypnotic, or anxiolytic; stimulant; or tobacco categories and leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a 12-month period:
1. The substance is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control use of the substance.
3. A great deal of time is spent in activities necessary to obtain the substance, use the substance, or recover from its effects.
4. Craving, ora strong desire or urge to use the substance.
5. Recurrent use of the substance resulting in a failure to fulfill major role obligations at work, school, or home.
6. Continued use of the substance despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of its use.
7. Important social, occupational, or recreational activities are given up or reduced because of use of the substance.
8. Recurrent use of the substance in situations in which it is physically hazardous.
9. Use of the substance is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated bythe substance.
10. Tolerance, as defined by either of the following:
a. A need for markedly increased amounts of the substance to achieve intoxication or desired effects
b. A markedly diminished effect with continued use ofthe same amount of the substance.
11. Withdrawal, as manifested by either of the following:
a. The characterisitc withdrawn syndrome for other (or unknown) substance (refer to Criteria A and B ofthe criteria sets for other [or unknown] substance withdrawal, p. 583).
b. The substance (or a closely related substance) is taken to relieve or avoid withdrawal symptoms.
Specity if:
In early remission: After full criteria for other (orunknown) substance usedisorder were previously met, none of the criteria for other (or unknown) substance use disorder have
been met for at least3 months but for less than 12 months (with the exception that Criterion A4, “Craving, or a strong desireor urge to use the substance,” may be met).
In sustained remission: After full criteria for other (or unknown) substance use disorder were previously met, none of the criteria for other (or unknown) substance use dis-
order have been met at any time during a period of 12 months or longer (with the exception that Criterion A4, “Craving, or a strong desire or urge to use the substance,” may be met).
Specify if:
In a controlled environment: This additional specifier is used ifthe individual is in an environment where access to the substance is restricted.
305.90 (F19.10) Mild: Presence of 2-3symptoms.
304.90 (F19.20) Moderate: Presence of 4-5 symptoms.
304.90 (F19.20) Severe: Presence of 6 or more symptoms.
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