ASHP believes that the active involvement of health care providers is crucial to effective tobacco control at the population level and that the pharmacy professionas a primary and accessible point of contact between the health care system and the public (including the medically underserved)has a unique opportunity to serve as a cornerstone for the nations tobacco-control efforts
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of tobacco use (Z87.891) tobacco dependence (F17.-) tobacco use (Z72.0) C03.0 Malignant neoplasm of upper gum C03.1 Malignant neoplasm of lower gum C03.9 Malignant neoplasm of gum, unspecified C04 Malignant neoplasm of floor of mouth Use additional code to identify: alcohol abuse and dependence (F10.-) history of tobacco use (Z87.891) tobacco dependence (F17.-) tobacco use (Z72.0) C04.0 Malignant neoplasm of anterior floor of mouth Malignant neoplasm of anterior to the premolar-canine junction C04.1 Malignant neoplasm of lateral floor of mouth C04.8 Malignant neoplasm of overlapping sites of floor of mouth C04.9 Malignant neoplasm of floor of mouth, unspecified C05 Malignant neoplasm of palate Excludes1: Kaposi's sarcoma of palate (C46.2) Use additional code to identify: alcohol abuse and dependence (F10.-) history of tobacco use (Z87.891) tobacco dependence (F17.-) tobacco use (Z72.0) C05.0 Malignant neoplasm of hard palate C05.1 Malignant neoplasm of soft palate Excludes2: malignant neoplasm of nasopharyngeal surface of soft palate (C11.3) C05.2 Malignant neoplasm of uvula C05.8 Malignant neoplasm of overlapping sites of palate C05.9 Malignant neoplasm of palate, unspecified Malignant neoplasm of roof of mouth C06 Malignant neoplasm of other and unspecified parts of mouth Use additional code to identify: alcohol abuse and dependence (F10.-) history of tobacco use (Z87.891) tobacco dependence (F17.-) tobacco use (Z72.0) C06.0 Malignant neoplasm of cheek mucosa Malignant neoplasm of buccal mucosa NOS Malignant neoplasm of internal cheek C06.1 Malignant neoplasm of vestibule of mouth Malignant neoplasm of buccal sulcus (upper) (lower) Malignant
For behavioral health professionals, understanding this code extends beyond administrative necessity: it reflects clinical clarity, supports treatment planning, and strengthens interdisciplinary communication
Document the patients current tobacco use status, type of tobacco products used, quantity and frequency of use, and any prior quit attempts
Many of the NIH and NCI programs described in this chapter are also working to address shortcomings in cancer care (particularly regarding medical professionals who conduct basic, translational, and clinical research), though more robust federal support is needed
