Is it necessary to use additional codes from the mental health chapter in icd-10 to explain substance abuse or dependence when assigning codes from the table of drugs and chemicals?

Ihave a really high metabolism and only weigh 70 pounds (13 almost 14). people always ask me two questions: do you ever eat and how do you eat so much and stay so skinny. i am worried that a high metabolism wont me forever. what are some safe steps i can take to maintain being fit. (also, i already work out i am a dacer so i get cardio a lot)