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ICD-10 Vaping Nicotine: A Comprehensive Guide for Healthcare Professionals
Introduction:
The rise of vaping has presented a significant challenge for healthcare professionals, necessitating accurate coding practices for diagnosis and billing. This comprehensive guide delves into the intricacies of ICD-10 coding for nicotine vaping-related conditions. We will explore the specific codes applicable to various vaping-associated disorders, helping you navigate the complexities of medical recordkeeping and ensure accurate reimbursement. This post provides a detailed understanding of the ICD-10 codes relevant to nicotine vaping, including distinctions between nicotine dependence, tobacco use disorder, and other vaping-related illnesses. We'll clarify common misconceptions and offer practical guidance for accurate coding.
Understanding the ICD-10 System and its Relevance to Vaping
The International Classification of Diseases, Tenth Revision (ICD-10) is the standard diagnostic tool used worldwide for classifying diseases and other health problems. Its importance in healthcare is paramount, impacting everything from epidemiological studies to medical billing and insurance claims. As vaping has become increasingly prevalent, the accurate coding of vaping-related conditions within the ICD-10 system is crucial for several reasons:
Accurate Diagnosis and Treatment: Precise coding ensures proper diagnosis and facilitates the development of effective treatment strategies tailored to the specific condition.
Public Health Surveillance: Accurate data on vaping-related illnesses allows for better monitoring of public health trends and the identification of emerging risks.
Resource Allocation: Reliable coding data enables healthcare systems to allocate resources effectively to address the growing health challenges associated with vaping.
Reimbursement and Billing: Correct ICD-10 coding is essential for accurate claims processing and timely reimbursement from insurance providers.
ICD-10 Codes Related to Nicotine Vaping: A Detailed Breakdown
Several ICD-10 codes can be used to describe conditions associated with nicotine vaping. The most frequently used codes fall under the following categories:
1. Nicotine Dependence (F17.2): This code is used when a patient exhibits a pattern of nicotine use characterized by tolerance, withdrawal symptoms, and compulsive drug-seeking behavior, even when the nicotine is delivered via vaping devices. The severity of the dependence should be carefully assessed and documented.
2. Tobacco Use Disorder (F17.-): While primarily associated with traditional smoking, this category also applies to individuals with nicotine dependence through vaping. Specific subtypes within F17 exist, allowing for further specification of the severity and specific symptoms.
3. Other Vaping-Related Illnesses: Vaping can contribute to or exacerbate a range of respiratory and cardiovascular conditions. These conditions require their own specific ICD-10 codes, often depending on the presenting symptoms and the severity of the illness. Examples include:
Acute Bronchitis (J20.-): Vaping can trigger acute bronchitis, an inflammation of the bronchial tubes.
Pneumonia (J18.-): While not directly caused by vaping, it can be a potential complication, particularly in individuals with compromised respiratory function.
Obstructive Sleep Apnea (G47.3): Some studies suggest a potential link between vaping and sleep apnea.
Cardiovascular Issues: Although research is ongoing, some studies indicate potential cardiovascular risks associated with vaping, necessitating the use of relevant cardiovascular ICD-10 codes.
Differentiating Between Nicotine Dependence and Tobacco Use Disorder in Vaping Patients
The distinction between F17.2 (Nicotine Dependence) and F17.- (Tobacco Use Disorder) can be subtle but is crucial for accurate coding. While both relate to nicotine addiction, the focus shifts slightly. F17.2 specifically emphasizes the dependence on nicotine itself, regardless of the delivery method. F17.- is a broader category encompassing all forms of tobacco use, including vaping. In many cases, both codes might be applicable, depending on the individual's history and clinical presentation. Clinical judgment is paramount in selecting the most appropriate code.
Navigating Coding Challenges and Best Practices
Coding for vaping-related conditions presents several challenges. The relatively recent emergence of vaping as a widespread phenomenon means that coding practices are still evolving. However, adherence to the following best practices can help improve accuracy:
Detailed Clinical Documentation: Thorough documentation of the patient's history, symptoms, and examination findings is essential for selecting the appropriate ICD-10 codes. The documentation should explicitly mention vaping as a contributing factor when relevant.
Staying Updated: ICD-10 codes are periodically updated, and staying current with the latest coding guidelines is crucial for accuracy.
Collaboration and Consultation: When faced with complex coding scenarios, consulting with other healthcare professionals or coding specialists can ensure the correct code is applied.
Conclusion:
Accurate ICD-10 coding for nicotine vaping-related conditions is crucial for effective healthcare delivery, public health surveillance, and appropriate reimbursement. By understanding the nuances of relevant codes, paying attention to clinical details, and staying updated on coding guidelines, healthcare professionals can improve the accuracy and consistency of their medical recordkeeping. This guide provides a solid foundation for navigating the complexities of ICD-10 coding in the context of vaping-associated health issues.
Article Outline: ICD-10 Vaping Nicotine
I. Introduction:
Hook: The rise of vaping and its impact on healthcare coding.
Overview: The guide's purpose and content.
II. Understanding ICD-10 and its Relevance to Vaping:
The importance of ICD-10 in healthcare.
Reasons for accurate coding in vaping-related conditions.
III. ICD-10 Codes Related to Nicotine Vaping:
Detailed explanation of relevant codes (F17.2, F17.-, and codes for associated illnesses).
Examples of associated respiratory and cardiovascular conditions and their codes.
IV. Differentiating Between Nicotine Dependence and Tobacco Use Disorder:
Clarification of the subtle differences between F17.2 and F17.-.
Practical examples to illustrate the distinction.
V. Navigating Coding Challenges and Best Practices:
Key challenges in coding vaping-related conditions.
Best practices for accurate and consistent coding.
VI. Conclusion:
Recap of key takeaways.
Emphasis on the importance of accurate coding.
(Detailed explanation of each point is provided above in the main article.)
FAQs:
1. Is vaping considered tobacco use for ICD-10 coding purposes? While vaping doesn't involve burning tobacco leaves, the nicotine dependence it creates often falls under the broader category of tobacco use disorders (F17.-) in ICD-10.
2. Can I use multiple ICD-10 codes for a patient with vaping-related conditions? Yes, multiple codes may be necessary if the patient presents with multiple conditions, such as nicotine dependence and associated respiratory issues.
3. What if the patient isn't explicitly mentioning vaping? If you suspect vaping is contributing to the patient's condition, it's crucial to directly inquire about their vaping habits and document this in the medical record.
4. How often are ICD-10 codes updated? ICD-10 codes are updated annually to reflect changes in medical knowledge and terminology. Stay current with these updates to ensure accuracy.
5. Where can I find the most up-to-date ICD-10 coding information? Consult official resources from the World Health Organization (WHO) and your national healthcare authorities.
6. What if I am unsure which ICD-10 code to use? Consult with a coding specialist or experienced healthcare professional to ensure accuracy.
7. Are there specific codes for vaping-related lung injuries? While there isn't a specific code for "vaping-related lung injury," you should use the code that best reflects the patient's specific diagnosis (e.g., acute respiratory distress syndrome, pneumonia).
8. How does ICD-10 coding for vaping impact insurance claims? Accurate coding is crucial for ensuring timely and accurate insurance reimbursement. Incorrect coding can lead to claim denials.
9. Is there a specific ICD-10 code for e-cigarette or vaping product use-associated lung injury (EVALI)? While EVALI was a specific outbreak, it's coded based on the resulting respiratory condition (e.g., pneumonia, ARDS), with documentation specifying the association with vaping.
Related Articles:
1. The Impact of Vaping on Adolescent Mental Health: Explores the psychological effects of nicotine vaping on teenagers and young adults.
2. Long-Term Effects of Nicotine Vaping on Respiratory Health: Discusses the potential for chronic respiratory problems in long-term vapers.
3. Vaping and Cardiovascular Disease: A Growing Concern: Reviews the evidence linking vaping to cardiovascular risks.
4. Nicotine Addiction: Treatment and Recovery Strategies: Explores various treatment options for nicotine addiction, including those relevant to vapers.
5. The Role of Healthcare Professionals in Addressing the Vaping Epidemic: Discusses the importance of healthcare's role in educating and treating vapers.
6. ICD-10 Coding for Substance Use Disorders: A Comprehensive Guide: Provides a broader overview of ICD-10 coding within the context of substance use.
7. The Legal Landscape of Vaping and E-cigarettes: Explores the regulatory environment surrounding vaping products.
8. Marketing and Advertising of Vaping Products: Ethical Considerations: Discusses the ethical implications of vaping product marketing.
9. Public Health Campaigns to Reduce Vaping Rates Among Young People: Examines strategies for decreasing vaping prevalence in young populations.
icd 10 vaping nicotine: How Tobacco Smoke Causes Disease United States. Public Health Service. Office of the Surgeon General, 2010 This report considers the biological and behavioral mechanisms that may underlie the pathogenicity of tobacco smoke. Many Surgeon General's reports have considered research findings on mechanisms in assessing the biological plausibility of associations observed in epidemiologic studies. Mechanisms of disease are important because they may provide plausibility, which is one of the guideline criteria for assessing evidence on causation. This report specifically reviews the evidence on the potential mechanisms by which smoking causes diseases and considers whether a mechanism is likely to be operative in the production of human disease by tobacco smoke. This evidence is relevant to understanding how smoking causes disease, to identifying those who may be particularly susceptible, and to assessing the potential risks of tobacco products. |
icd 10 vaping nicotine: ICD-10-CM Official Guidelines for Coding and Reporting - FY 2021 (October 1, 2020 - September 30, 2021) Department Of Health And Human Services, 2020-09-06 These guidelines have been approved by the four organizations that make up the Cooperating Parties for the ICD-10-CM: the American Hospital Association (AHA), the American Health Information Management Association (AHIMA), CMS, and NCHS. These guidelines are a set of rules that have been developed to accompany and complement the official conventions and instructions provided within the ICD-10-CM itself. The instructions and conventions of the classification take precedence over guidelines. These guidelines are based on the coding and sequencing instructions in the Tabular List and Alphabetic Index of ICD-10-CM, but provide additional instruction. Adherence to these guidelines when assigning ICD-10-CM diagnosis codes is required under the Health Insurance Portability and Accountability Act (HIPAA). The diagnosis codes (Tabular List and Alphabetic Index) have been adopted under HIPAA for all healthcare settings. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. These guidelines have been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated. |
icd 10 vaping nicotine: Buck's 2024 ICD-10-CM for Physicians - E-Book Elsevier, 2023-09-08 - At-a-glance Guide to the 2024 ICD-10-CM Updates in the front of the book lists all new, revised, and deleted codes, providing quick lookup of the coding changes. - Official Guidelines for Coding and Reporting (OGCRs) are listed in full in the Introduction, at the beginning of each chapter, and integrated within the code set, providing easier reference to coding rules when they are needed most. - Unique! Full-color anatomy plates (including Netter's Anatomy art) are included in a separate section for easy reference and cross-referenced within the Tabular List of Diseases and Injuries, to help users understand anatomy and how it may affect choosing codes. - Full-color design includes consistent color-coded symbols and text, providing easier access to codes and coding information. - American Hospital Association's Coding Clinic® citations include official ICD-10-CM coding advice relating to specific codes and their usage. - More than 190 illustrations provide visual orientation and enhance understanding of specific coding situations. - Items are included throughout the Tabular List to ensure accurate coding, providing additional information on common diseases and conditions. - Additional elements within specific codes define terms and add coding instructions relating to difficult terminology, diseases and conditions, or coding in a specific category. - Symbols and highlights draw attention to codes that may require special consideration before coding, including: - New, revised, and deleted - Unacceptable Principle Diagnosis - Codes that call for the use of additional character(s) - Includes, Excludes 1 and Excludes 2 - Use Additional - Code First and Code Also - Placeholder X symbol reminds you to assign placeholder X for codes less than 6 characters that require a 7th character. - Manifestation code symbol identifies conditions for which it is important to record both the etiology and the symptom of the disease. - HCC symbol indicates diagnoses in the Tabular List associated with Hierarchical Condition Categories. - Age and Sex edits from the Definition of Medicare Code Edits help to ensure accuracy by denoting codes that are used only with patients of a specific age or sex. - NEW! Updated 2024 Official Code set reflects the latest ICD-10 codes needed for diagnosis coding. |
icd 10 vaping nicotine: Buck's 2023 ICD-10-CM for Hospitals - E-Book Elsevier, 2022-10-22 - NEW! Updated 2023 Official Code set reflects the latest ICD-10 codes needed for diagnosis coding. |
icd 10 vaping nicotine: Buck's 2024 ICD-10-CM for Hospitals - E-Book Elsevier, 2023-09-08 - NEW! Updated 2024 Official Code set reflects the latest ICD-10 codes needed for diagnosis coding. |
icd 10 vaping nicotine: Buck's 2023 ICD-10-CM Physician Edition - E-Book Elsevier, 2022-10-22 Selecting diagnosis codes is faster and easier with Buck's 2023 ICD-10-CM for Physicians. Designed by coders for coders, this full-color manual ensures you learn the most accurate billing and reimbursement codes for medical services provided in physicians' offices and outpatient settings. As coders need extensive knowledge to code with ICD-10-CM — and to choose from the thousands of possible codes — this edition makes it easier with colorful anatomy plates (including Netter's Anatomy illustrations) to help you understand anatomy and how it can affect your code choices. In addition, it comes with durable spiral binding, and includes a companion website with the latest coding updates |
icd 10 vaping nicotine: Buck's 2022 ICD-10-CM for Hospitals E-Book Elsevier, 2021-10-09 Selecting diagnosis codes is faster and easier with Buck's 2022 ICD-10-CM for Hospitals. Designed by coders for coders, this full-color manual includes all the ICD-10 codes that you need for today’s inpatient coding. As coders need extensive knowledge to code with ICD-10-CM — and to choose from the thousands of possible codes — this edition makes it easier with colorful anatomy plates (including Netter’s Anatomy illustrations) to help you understand anatomy and how it can affect your code choices. In addition, it comes with durable spiral binding, and includes a companion website with the latest coding updates. |
icd 10 vaping nicotine: Buck's 2022 ICD-10-CM for Physicians - E-Book Elsevier, 2021-10-09 Selecting diagnosis codes is faster and easier with Buck's 2022 ICD-10-CM for Physicians. Designed by coders for coders, this full-color manual ensures you learn the most accurate billing and reimbursement codes for medical services provided in the physicians’ office and outpatient settings. As coders need extensive knowledge to code with ICD-10-CM — and to choose from the thousands of possible codes — this edition makes it easier with colorful anatomy plates (including Netter’s Anatomy illustrations) to help you understand anatomy and how it can affect your code choices. In addition, it comes with durable spiral binding, and includes a companion website with the latest coding updates. |
icd 10 vaping nicotine: Buck's 2025 ICD-10-CM for Hospitals - E-BOOK Elsevier Inc, Jackie Koesterman, 2024-09-26 Selecting diagnosis codes is faster and easier with Buck's 2025 ICD-10-CM for Hospitals. Designed by coders for coders, this full-color manual includes all the ICD-10 codes that you need for today's inpatient coding. As coders need extensive knowledge to code with ICD-10-CM — and to choose from the thousands of possible codes — this edition makes it easier with colorful anatomy plates (including Netter's Anatomy illustrations) to help you understand anatomy and how it can affect your code choices. In addition, it comes with durable spiral binding, and includes a companion website with the latest coding updates. |
icd 10 vaping nicotine: Buck's 2025 ICD-10-CM for Physicians - E-BOOK Elsevier Inc, Jackie Koesterman, 2024-09-26 Selecting diagnosis codes is faster and easier with Buck's 2025 ICD-10-CM for Physicians. Designed by coders for coders, this full-color manual includes all the ICD-10 codes that you need to code medical services provided in physicians' offices and outpatient settings. As coders need extensive knowledge to code with ICD-10-CM — and to choose from the thousands of possible codes — this edition makes it easier with colorful anatomy plates (including Netter's Anatomy illustrations) to help you understand anatomy and how it can affect your code choices. In addition, it comes with durable spiral binding, and includes a companion website with the latest coding updates. |
icd 10 vaping nicotine: Buck's 2021 ICD-10-CM for Hospitals - E-Book Elsevier, 2020-09-25 Selecting diagnosis codes is faster and easier with Buck's 2021 ICD-10-CM for Hospitals. Designed by coders for coders, this full-color manual includes all the ICD-10 codes that you need for today’s inpatient coding. As coders need extensive knowledge to code with ICD-10-CM — and to choose from the thousands of possible codes — this edition makes it easier with colorful anatomy plates (including Netter’s Anatomy illustrations) to help you understand anatomy and how it can affect your code choices. In addition, it comes with durable spiral binding, and includes a companion website with the latest coding updates. |
icd 10 vaping nicotine: Buck's 2021 ICD-10-CM for Physicians - E-Book Elsevier, 2020-09-25 Selecting diagnosis codes is faster and easier with Buck's 2021 ICD-10-CM for Physicians. Designed by coders for coders, this full-color manual ensures you learn the most accurate billing and reimbursement codes for medical services provided in the physicians’ office and outpatient settings. As coders need extensive knowledge to code with ICD-10-CM — and to choose from the thousands of possible codes — this edition makes it easier with colorful anatomy plates (including Netter’s Anatomy illustrations) to help you understand anatomy and how it can affect your code choices. In addition, it comes with durable spiral binding, and includes a companion website with the latest coding updates. |
icd 10 vaping nicotine: Alcohol and Drug Misuse G. Hussein Rassool, 2024-11-05 This comprehensive textbook provides an accessible and skills-oriented introduction to alcohol and substance misuse for healthcare students and practitioners new to the field. Divided into five parts, this text explores: The context of alcohol and drug misuse and the nature and theories of addiction, including a historical overview and policy initiatives in contemporary society. An overview of psychoactive substances and the problems associated with them. An exploration of the impact of psychoactive substances on groups, such as culturally and linguistically diverse communities, young people, women, older people, and the homeless. An understanding of the generic role responses to substance misuse in a variety of different settings and contexts, including primary care, the community, and hospitals. A framework for assessment, care planning, harm reduction approaches, dealing with overdose, intoxication and withdrawals, and psychological and pharmacological interventions. This new edition is fully updated and includes expanded coverage of performance-enhancing drugs, e-cigarettes, cannabis use, gender disparities in substance use and treatment, public health approaches to substance use, and screening tools for alcohol misuse. Alcohol and Drug Misuse is enhanced with activities and learning outcomes throughout. It is essential reading for nursing, healthcare, and social work students taking substance misuse modules, as well as related post-registration/qualification courses for health and social care professionals. |
icd 10 vaping nicotine: Clinical descriptions and diagnostic requirements for ICD-11 mental, behavioural and neurodevelopmental disorders World Health Organization, 2024-03-14 The Clinical descriptions and diagnostic requirements for ICD-11 mental, behavioural and neurodevelopmental disorders (CDDR) is a comprehensive diagnostic manual designed to support the accurate and reliable identification and diagnosis of these disorders in clinical settings across the world. Based on reviews of the latest available scientific evidence and best clinical practices, the CDDR were developed and tested through a rigorous, multi-disciplinary and participatory approach involving hundreds of experts and thousands of clinicians around the world. An accurate diagnosis is generally the first step towards appropriate care and treatment. By supporting accurate and timely diagnosis of mental, behavioural and neurodevelopmental disorders, the CDDR will ultimately ensure more people are able to access services that meet their needs. The ICD-11 CDDR are aimed at: - mental health professionals and non-specialist health professionals such as primary care physicians responsible for assigning these diagnoses in clinical settings; - other health professionals in clinical and non-clinical roles, such as nurses, occupational therapists and social workers, who need to understand the nature and symptoms of mental, behavioural and neurodevelopmental disorders even if they do not personally assign diagnoses; and - students and trainees in mental health and other health fields who need to gain an understanding of the nature and symptoms of mental, behavioural and neurodevelopmental disorders as part of their education and training. WHO’s Eleventh Revision of the International Classification of Diseases (ICD-11) is the global standard for recording and reporting diseases and health related conditions. It provides standardized nomenclature and a common health language for WHO member states, health systems and health practitioners across the world. ICD-11 was adopted by the 72nd World Health Assembly in May 2019 and came into effect as a basis for health reporting in January 2022. The CDDR are a clinical version of ICD-11 and thus complementary to the system for the statistical reporting of health information, referred to as the linearization for mortality and morbidity statistics (MMS). |
icd 10 vaping nicotine: Oxford Handbook of Psychiatry David Semple, Roger Smyth, 2019-07-30 This new fourth edition of the Oxford Handbook of Psychiatry is the essential, evidence-based companion to all aspects of psychiatry, from diagnosis and conducting a clinical interview to management by subspecialty. Fully updated to reflect changes to the legislature and classification of psychiatric disorders, and with coverage of the anticipated ICD-11 coding, this Handbook provides the latest advances in both clinical practice and management today. As in previous editions, the Handbook is indexed alphabetically by ICD-10 and DSM-5 codes,as well as a list of acute presentations for quick access in emergency situations. The practical layout helps the reader in making clinical diagnosis, and suggested differential diagnosis makes this title an invaluable guide to provide reassurance to health professionals when dealing with psychiatric issues. With a new chapter on Neuropsychiatry and a re-written section on gender dysphoria to reflect the biological and cultural developments in understanding and research since the previous edition, and filled with clinical observations, guidance, and commentary that reflects the authors' practical experiences of working in psychiatry, this Handbook is the indispensable guide for all trainee and practising psychiatrists. |
icd 10 vaping nicotine: Treating Tobacco Use and Dependence: 2008 Update: Clinical Practice Guideline , 2009 |
icd 10 vaping nicotine: ICD-10-CM 2022 the Complete Official Codebook with Guidelines American Medical Association, 2021-09-20 ICD-10-CM 2022: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, correct documentation, determining coverage and ensuring appropriate reimbursement. Each of the 22 chapters in the Tabular List of Diseases and Injuries is organized to provide quick and simple navigation to facilitate accurate coding. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. Official 2022 coding guidelines are included in this codebook. FEATURES AND BENEFITS Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the CY2022 codes, including a conversion table and code changes by specialty. QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MACRA. New and updated coding tips. Obtain insight into coding for physician and outpatient settings. Chapter 22 features U-codes and coronavirus disease 2019 (COVID-19) codes Improved icon placement for ease of use New and updated definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury and provide better understanding of complex diagnostic terms. Intuitive features and format. This edition includes color illustrations and visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, codes associated with CMS hierarchical condition categories (HCC), Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes. Placeholder X. This icon alerts the coder to an important ICD-10-CM convention--the use of a placeholder X for three-, four- and five-character codes requiring a seventh character extension. Coding guideline explanations and examples. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section. Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons Index to Diseases and Injuries. Shaded guides to show indent levels for subentries. Appendices. Supplement your coding knowledge with information on proper coding practices, risk-adjustment coding, pharmacology, and Z-codes. |
icd 10 vaping nicotine: Seminars in Clinical Psychopharmacology Peter M. Haddad, David J. Nutt, 2020-06-18 Expanded from previous editions, and integrating basic science, psychopharmacology and clinical practice with up-to-date clinical guidelines. |
icd 10 vaping nicotine: Magnesium in the Central Nervous System Robert Vink, Mihai Nechifor, 2011 The brain is the most complex organ in our body. Indeed, it is perhaps the most complex structure we have ever encountered in nature. Both structurally and functionally, there are many peculiarities that differentiate the brain from all other organs. The brain is our connection to the world around us and by governing nervous system and higher function, any disturbance induces severe neurological and psychiatric disorders that can have a devastating effect on quality of life. Our understanding of the physiology and biochemistry of the brain has improved dramatically in the last two decades. In particular, the critical role of cations, including magnesium, has become evident, even if incompletely understood at a mechanistic level. The exact role and regulation of magnesium, in particular, remains elusive, largely because intracellular levels are so difficult to routinely quantify. Nonetheless, the importance of magnesium to normal central nervous system activity is self-evident given the complicated homeostatic mechanisms that maintain the concentration of this cation within strict limits essential for normal physiology and metabolism. There is also considerable accumulating evidence to suggest alterations to some brain functions in both normal and pathological conditions may be linked to alterations in local magnesium concentration. This book, containing chapters written by some of the foremost experts in the field of magnesium research, brings together the latest in experimental and clinical magnesium research as it relates to the central nervous system. It offers a complete and updated view of magnesiums involvement in central nervous system function and in so doing, brings together two main pillars of contemporary neuroscience research, namely providing an explanation for the molecular mechanisms involved in brain function, and emphasizing the connections between the molecular changes and behavior. It is the untiring efforts of those magnesium researchers who have dedicated their lives to unraveling the mysteries of magnesiums role in biological systems that has inspired the collation of this volume of work. |
icd 10 vaping nicotine: Looming Vulnerability John H. Riskind, Neil A. Rector, 2018-10-09 This stimulating resource presents the Looming Vulnerability Model, a nuanced take on the cognitive-behavioral conceptualization of anxiety, worry, and other responses to real or imagined threat. The core feature of the model—the perception of growing, rapidly approaching threat—is traced to humans’ evolutionary past, and this dysfunctional perception is described as it affects cognitive processing, executive functioning, emotions, physiology, and behavior. The LVM framework allows for more subtle understanding of mechanisms of and risk factors for the range of anxiety disorders as well as for more elusive subclinical forms of anxiety, worry, and fear. In addition, the authors ably demonstrate how the LVM can inform and refine cognitive-behavioral and other approaches to conceptualization, assessment, and treatment of these often disabling conditions. This important volume: · Introduces the Looming Vulnerability Model in its evolutionary, developmental, cognitive, and ecological contexts. · Unites diverse theoretical strands regarding anxiety, fear, and worry including work on wildlife behavior, experimental cognition and perception, neuroimaging, and emotion. · Defines the looming cognitive style as a core aspect of vulnerability. · Describes the measurement of the looming cognitive style, Looming Maladaptive Style Questionnaire, and measures of looming vulnerability for specific disorders. · Details diverse clinical applications of the LVM across the anxiety disorders. Spotlighting phenomena particularly relevant to current times, Looming Vulnerability, brings a wealth of important new ideas to researchers studying anxiety disorders and practitioners seeking more avenues for treating anxiety in their patients. |
icd 10 vaping nicotine: The Health Effects of Cannabis and Cannabinoids National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Population Health and Public Health Practice, Committee on the Health Effects of Marijuana: An Evidence Review and Research Agenda, 2017-03-31 Significant changes have taken place in the policy landscape surrounding cannabis legalization, production, and use. During the past 20 years, 25 states and the District of Columbia have legalized cannabis and/or cannabidiol (a component of cannabis) for medical conditions or retail sales at the state level and 4 states have legalized both the medical and recreational use of cannabis. These landmark changes in policy have impacted cannabis use patterns and perceived levels of risk. However, despite this changing landscape, evidence regarding the short- and long-term health effects of cannabis use remains elusive. While a myriad of studies have examined cannabis use in all its various forms, often these research conclusions are not appropriately synthesized, translated for, or communicated to policy makers, health care providers, state health officials, or other stakeholders who have been charged with influencing and enacting policies, procedures, and laws related to cannabis use. Unlike other controlled substances such as alcohol or tobacco, no accepted standards for safe use or appropriate dose are available to help guide individuals as they make choices regarding the issues of if, when, where, and how to use cannabis safely and, in regard to therapeutic uses, effectively. Shifting public sentiment, conflicting and impeded scientific research, and legislative battles have fueled the debate about what, if any, harms or benefits can be attributed to the use of cannabis or its derivatives, and this lack of aggregated knowledge has broad public health implications. The Health Effects of Cannabis and Cannabinoids provides a comprehensive review of scientific evidence related to the health effects and potential therapeutic benefits of cannabis. This report provides a research agendaâ€outlining gaps in current knowledge and opportunities for providing additional insight into these issuesâ€that summarizes and prioritizes pressing research needs. |
icd 10 vaping nicotine: Addictions Frances R. Frankenburg MD, 2019-09-19 This book offers an accessible and comprehensive yet compact description of various forms of addiction, a disorder suffered by one in every 10 people in the United States. Now thought of as a brain disorder, addiction affects millions of individuals, their families, and society at large. Written by experts who treat people with addiction, this text provides an up-to-date explanation of different addictions with respect to their history, treatments, and related research. Readers will understand the causes, complications, and treatment of addictions after reading this text. Chapters cover the most serious addictions to drugs—alcohol, tobacco, opioids, stimulants, inhalants, and sedative hypnotics—and to highly addictive activity now recognized as a behavioral addiction, gambling. Research into these addictions and treatments for each specific addiction are reviewed. Chapters also consider rapidly changing issues related to addiction, including the increase in deaths due to the opioid epidemic, the evolving legal status of marijuana, and the use of hallucinogens in therapy. In addition to forms of addiction, the text addresses the neurobiology of addiction; brain pathways involved in addiction are just beginning to be understood. |
icd 10 vaping nicotine: Preventing Tobacco Use Among Youth and Young Adults , 2012 This booklet for schools, medical personnel, and parents contains highlights from the 2012 Surgeon General's report on tobacco use among youth and teens (ages 12 through 17) and young adults (ages 18 through 25). The report details the causes and the consequences of tobacco use among youth and young adults by focusing on the social, environmental, advertising, and marketing influences that encourage youth and young adults to initiate and sustain tobacco use. This is the first time tobacco data on young adults as a discrete population have been explored in detail. The report also highlights successful strategies to prevent young people from using tobacco. |
icd 10 vaping nicotine: ICD-10-CM 2021: The Complete Official Codebook with Guidelines American Medical Association, 2020-09-20 ICD-10-CM 2021: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, determining coverage and ensuring appropriate reimbursement. Each of the 21 chapters in the Tabular List of Diseases and Injuries is organized to provide quick and simple navigation to facilitate accurate coding. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. Official coding guidelines for 2021 are bound into this codebook. FEATURES AND BENEFITS Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the FY 2021 codes, including a conversion table and code changes by specialty. QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MACRA. New and updated coding tips. Obtain insight into coding for physician and outpatient settings. New and updated definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury and provide better understanding of complex diagnostic terms. Intuitive features and format. This edition includes full-color illustrations and visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, codes associated with CMS hierarchical condition categories (HCC), Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes. Placeholder X. This icon alerts the coder to an important ICD-10-CM convention--the use of a placeholder X for three-, four- and five-character codes requiring a seventh character extension. Coding guideline explanations and examples. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section. Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons Index to Diseases and Injuries. Shaded guides to show indent levels for subentries. Appendices. Supplement your coding knowledge with information on proper coding practices, risk adjustment coding, pharmacology, and Z codes. |
icd 10 vaping nicotine: ICD-10-CM 2020 the Complete Official Codebook American Medical Association, 2019-09-25 ICD-10-CM 2020: The Complete Official Codebook provides the entire updated code set for diagnostic coding, organized to make the challenge of accurate coding easier. This codebook is the cornerstone for establishing medical necessity, determining coverage and ensuring appropriate reimbursement. Each of the 21 chapters in the Tabular List of Diseases and Injuries is organized to provide quick and simple navigation to facilitate accurate coding. The book also contains supplementary appendixes including a coding tutorial, pharmacology listings, a list of valid three-character codes and additional information on Z-codes for long-term drug use and Z-codes that can only be used as a principal diagnosis. Official coding guidelines for 2020 are bound into this codebook. FEATURES AND BENEFITS - Full list of code changes. Quickly see the complete list of new, revised, and deleted codes affecting the FY 2020 codes. - QPP symbol in the tabular section. The symbol identifies diagnosis codes associated with Quality Payment Program (QPP) measures under MARCA. - The addition of more than 100 coding tips. Obtain insight into coding for physician and outpatient settings. - The addition of more than 300 new definitions in the tabular listing. Assign codes with confidence based on illustrations and definitions designed to highlight key components of the disease process or injury. - Intuitive features and format. This edition includes full-color illustrations and visual alerts, including color-coding and symbols that identify coding notes and instructions, additional character requirements, codes associated with CMS hierarchical condition categories (HCC), Medicare Code Edits (MCEs), manifestation codes, other specified codes, and unspecified codes. - Placeholder X. This icon alerts the coder to an important ICD-10-CM convention--the use of a placeholder X for three-, four- and five-character codes requiring a seventh character extension. - Coding guideline explanations and examples. Detailed explanations and examples related to application of the ICD-10-CM chapter guidelines are provided at the beginning of each chapter in the tabular section. - Muscle/tendon translation table. This table is used to determine muscle/tendon action (flexor, extensor, other), which is a component of codes for acquired conditions and injuries affecting the muscles and tendons - Appendices. Supplement your coding knowledge with information on proper coding practices, risk adjustment coding, pharmacology, and Z codes. |
icd 10 vaping nicotine: Ferri's Clinical Advisor 2025 - E-BOOK Fred F. Ferri, 2024-06-05 For more than 25 years, Ferri's Clinical Advisor has provided immediate answers on the myriad medical diseases and disorders you're likely to encounter in a unique, easy-to-use format. A bestselling title year after year, this popular 5 books in 1 reference delivers vast amounts of information in a user-friendly manner. It is updated annually to provide current and clinically relevant answers on over 1,000 common medical conditions, including diseases and disorders, differential diagnoses, clinical algorithms, laboratory tests, and clinical practice guidelines?all carefully reviewed by experts in key clinical fields. Extensive algorithms, along with hundreds of high-quality photographs, illustrations, diagrams, and tables, ensure that you stay current with today's medical practice. - Contains significant updates throughout all 5 sections, covering all aspects of diagnosis and treatment. - Features 26 all-new topics including eosinophilic gastroenteritis (EGE), retroperitoneal abscess, adenomyosis, periprosthetic joint infection, tonic pupil, rectal adenocarcinoma, nightmares and dream disturbances, avoidance/restrictive food intake disorder (ARFID), hypokalemia, cardiac implantable electronic device infection, heparin resistance, and hypertrophic pyloric stenosis, among others. - Includes useful appendices covering palliative care, preoperative evaluation, nutrition, poison management, commonly used herbal products in integrated medicine, and much more. - Offers online access to newly revised and updated Patient Teaching Guides in both English and Spanish. - Any additional digital ancillary content may publish up to 6 weeks following the publication date. |
icd 10 vaping nicotine: Tobacco and Health K. Slama, 1995 Over 1,100 delegates from a hundred countries attended the 9th World Conference onTobaccoandHealth. Afterfivedaysofdebate, severalimportantresolutionswereadopted unanimously and will be landmarks in the fight against tobacco. This great success is due to three facts which emerged from the discussions: 1. Itappears clearlynowthattherisksassociated withtobaccoaremuchgreaterthan previously assumed. Out of two regular smokers, one will die from a tobacco related disease. 2. Reducing tobacco consumption can be achieved but the data collected in several countriesshowthatitrequiresaglobalstrategy.Thisstrategywasmuchdebatedduring theconference. Theresolutionsadoptedemphasizetheagreementofthedelegateson themainpoints. Actionto fight thegrowingepidemicoftobacco-attributabledisease and death involves convincing the general public, the medical community and decision-makers ofthe need to act for tobacco control. The most efficient tools for helping individuals never to start or successfully to stop using tobacco should be developed; effective tobacco control endeavors are required to counteractthe actions ofthe powerful and influential tobacco manufacturers. With the help and under the aegis ofWHO, DICC, IUATLD, ISFC, IOCD, and IUHPE, an international alliance for health and against tobacco shouldunite all those who are engaged in this fight. |
icd 10 vaping nicotine: Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products Institute of Medicine, Board on Population Health and Public Health Practice, Committee on the Public Health Implications of Raising the Minimum Age for Purchasing Tobacco Products, 2015-07-23 Tobacco use by adolescents and young adults poses serious concerns. Nearly all adults who have ever smoked daily first tried a cigarette before 26 years of age. Current cigarette use among adults is highest among persons aged 21 to 25 years. The parts of the brain most responsible for cognitive and psychosocial maturity continue to develop and change through young adulthood, and adolescent brains are uniquely vulnerable to the effects of nicotine. At the request of the U.S. Food and Drug Administration, Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products considers the likely public health impact of raising the minimum age for purchasing tobacco products. The report reviews the existing literature on tobacco use patterns, developmental biology and psychology, health effects of tobacco use, and the current landscape regarding youth access laws, including minimum age laws and their enforcement. Based on this literature, the report makes conclusions about the likely effect of raising the minimum age to 19, 21, and 25 years on tobacco use initiation. The report also quantifies the accompanying public health outcomes based on findings from two tobacco use simulation models. According to the report, raising the minimum age of legal access to tobacco products, particularly to ages 21 and 25, will lead to substantial reductions in tobacco use, improve the health of Americans across the lifespan, and save lives. Public Health Implications of Raising the Minimum Age of Legal Access to Tobacco Products will be a valuable reference for federal policy makers and state and local health departments and legislators. |
icd 10 vaping nicotine: Ferri's Clinical Advisor 2023, E-Book Fred F. Ferri, 2022-06-21 For 25 years, Ferri's Clinical Advisor has provided immediate answers on the myriad medical diseases and disorders you're likely to encounter in a unique, easy-to-use format. A bestselling title year after year, this popular 5 books in 1 reference delivers vast amounts of information in a user-friendly manner. It is updated annually to provide current and clinically relevant answers on over 1,000 common medical conditions, including diseases and disorders, differential diagnoses, clinical algorithms, laboratory tests, and clinical practice guidelines?all carefully reviewed by experts in key clinical fields. Extensive algorithms, along with hundreds of high-quality photographs, illustrations, diagrams, and tables, ensure that you stay current with today's medical practice. - Contains significant updates throughout all 5 sections, covering all aspects of diagnosis and treatment. - Features 27 all-new topics including coronary artery dissection, perimandibular abscess, retinal vein occlusion, performance enhancing hormones, aphasia, hemorrhagic ovarian cyst, pelvic fracture, lung transplant, penile cancer and obsessive rumination syndrome, among others. - Includes useful appendices covering care of the transgender patient, palliative care, preoperative evaluation, nutrition, poison management, commonly used herbal products in integrated medicine, and much more. - Offers online access to Patient Teaching Guides in both English and Spanish. |
icd 10 vaping nicotine: Ferri's Clinical Advisor 2024, E-Book Fred F. Ferri, 2023-06-13 For more than 25 years, Ferri's Clinical Advisor has provided immediate answers on the myriad medical diseases and disorders you're likely to encounter in a unique, easy-to-use format. A bestselling title year after year, this popular 5 books in 1 reference delivers vast amounts of information in a user-friendly manner. It is updated annually to provide current and clinically relevant answers on over 1,000 common medical conditions, including diseases and disorders, differential diagnoses, clinical algorithms, laboratory tests, and clinical practice guidelines?all carefully reviewed by experts in key clinical fields. Extensive algorithms, along with hundreds of high-quality photographs, illustrations, diagrams, and tables, ensure that you stay current with today's medical practice. - Contains significant updates throughout all 5 sections, covering all aspects of diagnosis and treatment. - Features 26 all-new topics including monkeypox, occupational asthma, care of the transgender patient, infantile hypotonia, long-COVID, medical marijuana, cannabinoid use disorder, and abuse of performance enhancing hormones, among others. - Includes useful appendices covering palliative care, preoperative evaluation, nutrition, poison management, commonly used herbal products in integrated medicine, and much more. - Offers online access to Patient Teaching Guides in both English and Spanish. - An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud. |
icd 10 vaping nicotine: Smoking and Health United States. Surgeon General's Advisory Committee on Smoking and Health, 1964 |
icd 10 vaping nicotine: Women and Smoking United States. Public Health Service. Office of the Surgeon General, 2001 The second report from the U.S. Surgeon General devoted to women and smoking. Includes executive summary, chapter conclusions, full text chapters, and references. |
icd 10 vaping nicotine: The 5-Minute Clinical Consult 2024 Frank Domino, 2023-05-09 Practical and highly organized, the 5-Minute Clinical Consult 2024 provides rapid access to the diagnosis, treatment, medications, follow-up, and associated conditions for more than 500 disease and condition topics to help you make accurate decisions at the point of care. Organized alphabetically by diagnosis, it presents brief, bulleted points in a templated format, and contains more than 100 diagnostic and therapeutic algorithms. This up-to-date, bestselling reference delivers maximum clinical confidence as efficiently as possible, allowing you to focus your valuable time on providing high-quality care to your patients. |
icd 10 vaping nicotine: Ferri's Clinical Advisor 2022 Fred F. Ferri, 2021-06-09 Access immediate answers on the medical conditions you’re likely to see with this unique, bestselling resource! Ferri’s Clinical Advisor 2022 uses the popular 5 books in 1 format to deliver vast amounts of information in a clinically relevant, user-friendly manner. This practical reference is updated annually to provide easy access to answers on over 1,000 common medical conditions, including diseases and disorders, differential diagnoses, clinical algorithms, laboratory tests, and clinical practice guidelines—all carefully reviewed by experts in key clinical fields. Extensive algorithms, along with hundreds of clear photographs, illustrations, diagrams, and tables, ensure that you stay current with today's medical practice. Contains significant updates throughout, covering all aspects of current diagnosis and treatment. Features 30 all-new topics including Covid-19 disease, anal cancer, electronic cigarette or vaping–associated lung injury (EVALI), gaming disorder, early pregnancy loss, smoke inhalation injury, and subjective cognitive decline, among others. Includes useful appendices covering common herbs in integrated medicine and herbal activities against pain and chronic diseases; care of the transgender patient, palliative care; preoperative evaluation, and more. Offers online access to Patient Teaching Guides in both English and Spanish. |
icd 10 vaping nicotine: Combating Tobacco Use in Military and Veteran Populations Institute of Medicine, Board on Population Health and Public Health Practice, Committee on Smoking Cessation in Military and Veteran Populations, 2009-10-21 The health and economic costs of tobacco use in military and veteran populations are high. In 2007, the Department of Veterans Affairs (VA) and the Department of Defense (DoD) requested that the Institute of Medicine (IOM) make recommendations on how to reduce tobacco initiation and encourage cessation in both military and veteran populations. In its 2009 report, Combating Tobacco in Military and Veteran Populations, the authoring committee concludes that to prevent tobacco initiation and encourage cessation, both DoD and VA should implement comprehensive tobacco-control programs. |
icd 10 vaping nicotine: The Content Analysis Guidebook Kimberly A. Neuendorf, 2017 Content analysis is a complex research methodology. This book provides an accessible text for upper level undergraduates and graduate students, comprising step-by-step instructions and practical advice. |
icd 10 vaping nicotine: Principles and Practice of College Health John A. Vaughn, Anthony J. Viera, 2020-12-04 This unique and comprehensive title offers state-of-the-art guidance on all of the clinical principles and practices needed in providing optimal health and well-being services for college students. Designed for college health professionals and administrators, this highly practical title is comprised of 24 chapters organized in three sections: Common Clinical Problems in College Health, Organizational and Administrative Considerations for College Health, and Population and Public Health Management on a College Campus. Section I topics include travel health services, tuberculosis, eating disorders in college health, and attention deficit hyperactivity disorder among college students, along with several other chapters. Subsequent chapters in Section II then delve into topics such as supporting the health and well-being of a diverse student population, student veterans, health science students, student safety in the clinical setting, and campus management of infectious disease outbreaks, among other topics. The book concludes with organizational considerations such as unique issues in the practice of medicine in the institutional context, situating healthcare within the broader context of wellness on campus, organizational structures of student health, funding student health services, and delivery of innovative healthcare services in college health. Developed by a renowned, multidisciplinary authorship of leaders in college health theory and practice, and coinciding with the founding of the American College Health Association 100 years ago, Principles and Practice of College Health will be of great interest to college health and well-being professionals as well as college administrators. |
icd 10 vaping nicotine: Prevention of Stroke John W. Norris, Vladimir C. Hachinski, 2013-06-29 Prevention of Stroke sums up and critically analyzes our present knowledge and understanding of all major aspects of stroke prophylaxis, medical and surgical. The book is intended for not only neurologists and neurosurgeons directly involved with stroke patients, but also vascular surgeons, internists, family physicians, and health planners. Topics explored include the cellular basis of atherosclerosis; stroke risk factors; head and neck bruits in stroke prevention; the present status of anticoagulant prophylaxis; hypertension and stroke prevention; and prevention of cardioembolic stroke, as well as the efficacy of aspirin and of ticlopidine in stroke prevention. Surgical prophylaxis is examined through discussions of carotid endarterectomy, prevention of stroke from cerebral vascular malformations, prevention of aneurysmal subarachnoid hemorrhage, balloon transluminal angioplasty of the carotid artery in the head and neck, and prevention of recurrent stroke. |
icd 10 vaping nicotine: Fast Facts About Substance Use Disorders Jack Spencer, 2018-11-28 The only current resource for APPs caring for people with SUDs in clear, concise format This greatly needed resource is the first to provide evidence-based information and strategies for APRNs and PAs who work with individuals with substance use disorders (SUDs). Written in a concise, bulleted style for easy access to critical information, the reference addresses often-undiagnosed medical and psychiatric conditions which may accompany SUDs and the ethical considerations of working with affected patients and families. Written by noted substance abuse experts, the resource distills key information about SUDs, explaining what they are and what they are not, and the role of APPs in helping afflicted individuals to recover. It discusses how to identify SUDs regarding signs and symptoms, emergency response, and specific disorders. Also addressed is the use of pharmacology to treat SUDs including complementary and alternative medications, person-centered care for individuals with SUDs across the lifespan, and how to care for afflicted individuals in a variety of settings. Key Features: Distills current, evidence-based information in a concise, bulleted, pocket-sized format Organized for quick access to information Delivers proven strategies for successful nursing interventions Defines substance abuse disorders across the lifespan Discusses how to de-stigmatize people with substance abuse disorders Explores legal and ethical implications surrounding provision of health care to patients with SUDs |
icd 10 vaping nicotine: Practical Psychopharmacology Joseph F. Goldberg, Stephen M. Stahl, 2021-04-29 A practical guide translating clinical trials findings, across major psychiatric disorders, to devise tailored, evidence-based treatments. |