F15.11 — Other stimulant abuse, in remission
F15.11 is a billable, specific ICD-10-CM code for other stimulant abuse, in remission. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Amphetamine type substance use disorder, mild, in early remission
- Amphetamine type substance use disorder, mild, in sustained remission
- Other or unspecified stimulant use disorder, mild, in early remission
- Other or unspecified stimulant use disorder, mild, in sustained remission
Risk adjustment
F15.11 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 138 Drug Use Disorder, Mild, Uncomplicated, Except Cannabis0.423 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
F15.11 is named in 13 Medicare coverage policies — 11 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A59718Billing and Coding: Opioid Treatment Programsnot covered
- A54799Billing and Coding: Urine Drug Testing
- A55001Billing and Coding: Urine Drug Testing
How F15.11 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F15.11.
- Abuse›drug NEC›stimulant NEC›in remission(early) (sustained)
- Disorder›amphetamine-type substance use›mild›in remission(early) (sustained)
- Disorder›stimulant use›mild›in remission(early) (sustained)
Related codes at this level
Codes that share F15.1. If F15.11 is not quite right, the correct code is usually one of these.
- F15.10Other stimulant abuse, uncomplicated
- F15.12Other stimulant abuse with intoxication
- F15.13Other stimulant abuse with withdrawal
- F15.14Other stimulant abuse with stimulant-induced mood disorder
- F15.15Other stimulant abuse with stimulant-induced psychotic disorder
- F15.18Other stimulant abuse with other stimulant-induced disorder
- F15.19Other stimulant abuse with unspecified stimulant-induced disorder
Questions about F15.11
- Is F15.11 a billable ICD-10-CM code?
- Yes. F15.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F15.11 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental and behavioral disorders due to psychoactive substance use (F10-F19).