Template:ICD10 Guideline Chronic Substance Abuse

This template puts the rules for chronic substance abuse into the relevant diagnoses.

To use:

{{ICD10 Guideline Chronic Substance Abuse}}

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=== Chronic Substance Abuse Guidelines === Tina -- can we chane the words "Chr Substance Abuse" to instead "Chronic abuse, dependence, addiction"

• This category indicates, as stated, that the patient has, for the indicated substance, chronic abuse and/or dependency/addiction
• Chronic abuse/dependence/addiction does not necessarily mean there is current acute intoxication or withdrawal
• This is almost always going to be a Comorbid Diagnosis

• The issue of "chronic abuse/dependence/addiction" is hard to pin down and comes down to a judgement call (specifically, the judgement of collectors and the physicians writing chart notes):
• Obviously it is present if CURRENT dependence or addiction is present.
• But it can exist even in the abence of identified dependence or addiction, if chronic abuse is present.
• There are actually TWO judgements required to identify chronic abuse: (a) what is heavy use, and (b) what duration qualifies as chronic use
  • Furthermore, and complicating the issue, is that chronic abuse is about BOTH duration and quantity.
  • Heavier use for shorter periods COULD be considered as chronic abuse.
  • e.g. even without dependence or addiction, >5 years of heavy or regular use qualifies as "chronic abuse"
  • But the actual CUTOFF for the duration that qualifies as "chronic" is not easily delineated and depends somewhat on how heavy the use is
    • So again, the bottom line for defining "chronic abuse" is a judgement call

Coding substance related ICD10 diagnoses

See ICD10 Guideline for drugs and substances for more info on coding substance related ICD10 diagnoses.

please fix up as part of the substance dx review

• SMW

• Cargo

• Categories