Page 18 - guidelines_2018_english

history of chronic consumption with the following characteristics: Table 1.1: Classification of tobacco dependence in the ICD10CM
substance abuse, continues to self-administer the substance classification of diseases, WHO (Update effective October 1st 2015)
despite perceived negative effects, high tolerance towards the Website for reference http://www.icd10data.com
substance and manifests withdrawal symptoms when trying to Nicotine dependence F17
stop use. 6 Excludes (others specific codes)
According to the criteria adopted by the World Health Organization • History of tobacco dependence (Z87.891)
(WHO) in the International Classification of Diseases, tobacco • Tobacco use NOS (Z72.0)
dependence is included in: Mental and behavioural disorders due • Tobacco use (smoking) during pregnancy, childbirth
to tobacco use and has the disease code F17 (Table 1.1). 11 and the puerperium (O99.33-)
The dependence syndromes refer to a cluster of physical, • Toxic effect of nicotine (T65.2-)
psychological, behavioural and cognitive phenomena in which F17 Nicotine dependence
the use of a substance (in this case tobacco) becomes a priority F17.2 Nicotine dependence
for person concerned, disfavouring other behaviours, which in F17.20 Nicotine dependence, unspecified
the past used to have a higher value for that person.
F17.200 …uncomplicated
Nicotine withdrawal syndrome F17.201 …In remission
While administering nicotine in the body, chiefly by inhalation, F17.203 …nicotine dependence unspecified, with withdrawal
leads to nicotine dependence, conversely, when nicotine is F17.208 …with other nicotine-induced disorders
no longer delivered to a nicotine-dependent person, nicotine F17.209 …with unspecified nicotine-induced disorders
withdrawal syndrome occurs. F17.21 Nicotine dependence, cigarettes
Nicotine withdrawal symptoms are caused by suddenly stopping F17.210 …uncomplicated
nicotine supply. Nicotine withdrawal can manifest itself in the
first four to twelve hours after stopping smoking. F17.211 …In remission
12
Symptoms include : F17.213 …Nicotine dependence
• acute / uncontrollable need to smoke (craving); F17.218 …With other nicotine-induced disorders
• irritability / aggression / anger; F17.219 …With unspecified nicotine-induced disorders
• anxiety; F17.22 Nicotine dependence, chewing tobacco
• restlessness; F17.220 …uncomplicated
• tiredness; F17.221 …In remission
• increased appetite;
• difficulty concentrating; F17.223 …with withdrawal
• depression; F17.228 …With other nicotine-induced disorders
• headaches; F17.229 …With unspecified nicotine-induced disorders
• night time awakenings; F17.29 Nicotine dependence, other tobacco product
• light headedness/dizziness. F17.290 …uncomplicated
F17.291 …in remission
These symptoms vary depending on the individual: some F17.293 …With withdrawal
smokers feel withdrawal more intensely than others. All these
manifestations are temporary, reaching maximum intensity F17.298 …With other nicotine-induced disorders
in the first 24 to 72 hours and decreasing over 3-4 weeks. In F17.299 …With unspecified nicotine-induced disorders
12
16