F15.94

F15.94: Other stimulant use, unspecified with stimulant-induced mood disorder

Billable / specific codeICD-10-CM

F15.94 is a billable, specific ICD-10-CM code for other stimulant use, unspecified with stimulant-induced mood disorder. It is valid for submission on a claim.

Check F15.94 with the rest of the claim: free scrubber

Inclusion terms

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

Amphetamine or other stimulant-induced bipolar or related disorder, without use disorder
Amphetamine or other stimulant-induced depressive disorder, without use disorder

Excludes1 inherited from the categories above F15.94

A category’s note binds every code beneath it.

Written on F15.9: Other stimulant use, unspecified

other stimulant abuse (F15.1-)
other stimulant dependence (F15.2-)

Excludes2 inherited from the categories above F15.94

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

F15.94 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

F15.94 is named in 15 Medicare coverage policies: 13 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
A56614Billing and Coding: Psychiatric Inpatient Hospitalization
A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing