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Zevin S, Saunders S, Gourlay SG, Jacob P, Benowitz NL

Alcohol as an additional risk factor in laryngopharyngeal cancer in Mumbaia case-control study

Key documentation elements When assigning the ICD 10 code for cannabis dependence, clinicians should document: Clear criteria supporting dependence (e.g., loss of control, continued use despite harm) Absence of physiological complications like withdrawal Functional consequences attributable to cannabis use Relevant history, including prior use patterns and attempts to reduce or stop Example documentation might describe: Client reports cannabis use daily for 2+ years, unsuccessful efforts to cut down, priority given to use over work obligations, and continued use despite notable academic and interpersonal problems

We define topped out measures in 414.1305 differently for process measures and non-process measures