F15.259: Other stimulant dependence with stimulant-induced psychotic disorder, unspecified
F15.259 is a billable, specific ICD-10-CM code for other stimulant dependence with stimulant-induced psychotic disorder, unspecified. It is valid for submission on a claim.
Check F15.259 with the rest of the claim: free scrubberExcludes1 inherited from the categories above F15.259
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above F15.259
Not part of this code, but both may be coded when both are present.
Risk adjustment
F15.259 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 135 Drug Use with 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
F15.259 is named in 16 Medicare coverage policies: 13 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
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
Alphabetic index entries that lead here
- Dependence›drug NEC›stimulant NEC›with›psychosis
- Disorder›amphetamine use›moderate or severe›with›amphetamine-induced›psychotic disorder
Code history
Unchanged in every release from FY2024 to FY2027.