F55.3: Abuse of steroids or hormones

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

F55.3 is named in 18 Medicare coverage policies: 16 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
• A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
• A54799Billing and Coding: Urine Drug Testing
• A55001Billing and Coding: Urine Drug Testing