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N Engl J Med

The ICD-10-CM defines dependence as requiring behavioral indicators such as: Strong desire or compulsion to use the substance Difficulty controlling use Continued use despite harm Higher priority given to substance use than to other activities Evidence of tolerance or withdrawal (although not required for the uncomplicated specifier) The ICD 10 code for cannabis dependence, F12.20, is used when the criteria for dependence are present without physiological complications such as withdrawal or psychotic symptoms

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In such instances, CMS proposes to calculate the average total allowed charges per individual per year for the drug using allowed charges and the number of individuals who used the drug or biological product based on claims for the previously grouped billing and payment code during the year

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