ICD 10 CM F17.210 | Description & Clinical Information
ICD 10 F17.210 describes a condition known as uncomplicated nicotine dependence or tobacco dependence, which is characterized by the persistent use of cigarettes containing nicotine despite being aware of their harmful effects, and the inability to stop using them without experiencing physical and/or mental symptoms upon abrupt withdrawal of the substance.
Official Description Of F17.210
The ICD 10 CM book defines ICD 10 code F17.210 as:
Excludes1: history of tobacco dependence (Z87.891)
tobacco use NOS (Z72.0)
Excludes2: tobacco use (smoking) during pregnancy, childbirth and the puerperium (O99.33-)
toxic effect of nicotine (T65.2-)
When To Use F17.210
The diagnosis describes by ICD 10 CM F17.210 code concerns nicotine dependence, a condition that affects millions of people worldwide. Nicotine, the most addictive chemical in tobacco, enters the bloodstream after being absorbed through the skin or the tissues lining the mouth, nose, and lungs. Once it reaches the brain, nicotine indirectly increases dopamine levels, leading to pleasurable sensations, decreased anger, and increased performance on long, tedious tasks. Cigarette smoking, the most common tobacco product, is the leading preventable cause of death, causing diseases ranging from lung and bladder cancer to heart and respiratory diseases.
Patients with uncomplicated nicotine dependence may experience mild to severe tobacco use disorder but do not suffer from typical withdrawal symptoms such as strong cravings, irritability, anxiety, restlessness, difficulty concentrating, depressed mood, frustration, anger, increased hunger, or insomnia. Nevertheless, they require medical attention to diagnose the condition correctly and treat it before it becomes more challenging to overcome.
Self-diagnosis is common among smokers, but providers can correctly pinpoint the patient’s nicotine dependence by assessing their medical history and detailed inquiry into personal and social behaviors. Questionnaires can also help determine the degree of tobacco dependence and assist with personalized treatment.
Treatment for nicotine dependence includes different strategies such as nicotine replacement therapy (NRT) and counseling. NRT provides nicotine without the other harmful chemicals in tobacco and helps relieve withdrawal symptoms and cravings. It is available in various forms, such as a patch, gum, lozenge, inhaler, or nasal spray. The choice of NRT method depends on the patient’s preference and lifestyle.
Counseling can also help patients stop smoking by receiving emotional and social support. Smoking cessation programs that involve counseling, support groups, and educational resources have proven helpful in treating nicotine dependence.
Non-nicotine medications like the antidepressant drugs bupropion and nortriptyline can also relieve symptoms of nicotine withdrawal, making it easier to stop smoking.
It is essential to seek medical assistance as soon as possible if you are a smoker or have signs of nicotine dependence. Early diagnosis and intervention can prevent nicotine-related diseases and improve your overall health and well-being.
In conclusion, nicotine dependence is a severe condition that requires medical attention and personalized treatment. Treatment options range from nicotine replacement therapy to counseling and non-nicotine medications. Providers can diagnose the condition by assessing the patient’s medical history and personal and social behaviors. Early diagnosis and intervention can prevent serious health problems and increase the chances of successfully quitting smoking.
