F15.13: Other stimulant abuse with withdrawal
F15.13 is a billable, specific ICD-10-CM code for other stimulant abuse with withdrawal. It is valid for submission on a claim.
Check F15.13 with the rest of the claim: free scrubberExcludes1 inherited from the categories above F15.13
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above F15.13
Not part of this code, but both may be coded when both are present.
Risk adjustment
F15.13 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 137 Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications0.424 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
F15.13 is named in 23 Medicare coverage policies: 20 listing it as supporting medical necessity, and 3 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56562Billing and Coding: Health and Behavior Assessment/Interventionnot covered
- A59718Billing and Coding: Opioid Treatment Programsnot covered
- A54799Billing and Coding: Urine Drug Testing
Alphabetic index entries that lead here
- Abuse›amphetamine›stimulant NEC›with›withdrawal
- Abuse›drug NEC›stimulant NEC›with›withdrawal
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under F15.1
- F15.10Other stimulant abuse, uncomplicated
- F15.11Other stimulant abuse, in remission
- F15.12Other stimulant abuse with intoxication
- 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