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DSM-5 uses mild, moderate and severe, and ICD- 10-CM utilizes use, abuse, and dependence ICD-10-CM has two categories, abuse and dependence.Documentation of use, abuse, and/or dependence of the same substance should be assigned only one code based on a hierarchy of severityAbuse is reported when documented with use Use is reported when documented alone, without mention of abuse or dependencePrevalence and statisticsAccording to the 2019 National Survey on Drug Use and Health (NSDUH), 14.5 million people age 12 and older had Alcohol Use Disorder (AUD)6.3% engaged in heavy alcohol use in the past month85,000 deaths a year in the United States attributed to alcohol use and abusePrescription drug use in the United States prevalence is 3.4% of people age 26 and older in the past year21%29% misuse prescribed opioid drugs for chronic painIllicit drug use83.8% of overdose deaths involved illicitly manufactured fentanyls, heroin, cocaine, or methamphetamine (alone or in combination)Substance use/abuse/dependence screeningThe TAPS Tool has two components