Name of the Condition

• Personal History of Nicotine Dependence
• ICD-10-CM Code: Z87.891

Summary

• This condition denotes a past dependency on nicotine, a substance primarily found in tobacco products. While the individual is no longer dependent, this history may still impact their health and medical care.

Causes

• Nicotine dependence is primarily caused by regular use of tobacco products. Nicotine, an addictive substance, leads to changes in brain chemistry that foster dependence.

Risk Factors

• Factors that increased the likelihood of developing nicotine dependence include smoking or using tobacco products, social influences, stress, and genetic predisposition to addiction.

Symptoms

• Though Z87.891 pertains to a history of dependence, typical past symptoms might have included a strong craving for tobacco, irritability without nicotine, and continued use despite health issues.

Diagnosis

• A personal history of nicotine dependence is typically identified through a patient's medical history and self-reporting of past tobacco use and dependence.

Treatment Options

• For individuals with a history of nicotine dependence, the focus is often on prevention of relapse. Support groups, counseling, and nicotine replacement therapies could be encouraged if needed.

Prognosis and Follow-Up

• The prognosis can be favorable if the individual remains abstinent from tobacco. Regular follow-ups can monitor for relapse and manage any health issues arising from past dependence.

Complications

• While past nicotine dependence is no longer present, individuals may still be at risk for complications such as cardiovascular disease, respiratory problems, and cancer due to past exposure.

Lifestyle & Prevention

• Avoiding exposure to tobacco products and stress management are crucial. Maintaining a healthy lifestyle through diet and exercise can improve overall well-being.

When to Seek Professional Help

• If there are any signs of returning cravings for tobacco or difficulties in remaining abstinent, it may be necessary to seek support from healthcare providers.

Additional Resources

• American Lung Association
• Centers for Disease Control and Prevention - Tobacco Prevention
• Smokefree.gov

Tips for Medical Coders

• Ensure Z87.891 is used only in cases where there is a clear history of nicotine dependence.
• Double-check patient records to confirm that the nicotine dependence is historical and not a current condition, which would require a different code.