F15.20

F15.20: Other stimulant dependence, uncomplicated

Billable / specific codeICD-10-CM

F15.20 is a billable, specific ICD-10-CM code for other stimulant dependence, uncomplicated. It is valid for submission on a claim.

Check F15.20 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Amphetamine type substance use disorder, moderate
Amphetamine type substance use disorder, severe
Other or unspecified stimulant use disorder, moderate
Other or unspecified stimulant use disorder, severe

Excludes1 inherited from the categories above F15.20

A category’s note binds every code beneath it.

Written on F15.2: Other stimulant dependence

other stimulant abuse (F15.1-)
other stimulant use, unspecified (F15.9-)

Excludes2 inherited from the categories above F15.20

Not part of this code, but both may be coded when both are present.

Written on F15: Other stimulant related disorders

cocaine-related disorders (F14.-)

Risk adjustment

F15.20 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

F15.20 is named in 20 Medicare coverage policies: 18 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.

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