For amphetamine, cocaine, or other stimulant intoxication, with perceptualdisturbances:If a mild amphetamine or other stimulant use disorder is comorbid,the ICD-10-CM code isF15.122,and if a moderate or severe amphetamine or otherstimulant use disorder is comorbid, the ICD-10-CM code isF15.222.If there is nocomorbid amphetamine or other stimulant use disorder, then the ICD-10-CM codeisF15.922.Similarly, if a mild cocaine use disorder is comorbid, the ICD-10-CMcode isF14.122,and if a moderate or severe cocaine use disorder is comorbid, theICD-10-CM code isF14.222.If there is no comorbid cocaine use disorder, then theICD-10-CM code isF14.922.
352DSM-5GuidebookStimulant WithdrawalThe essential feature of stimulant withdrawal is the presence of a characteristic with-drawal syndrome, which develops within a few hours after cessation of or reduction inuse of a high-dose stimulant. Use has to have been prolonged. A withdrawal syndromeis characterized by the development of dysphoric mood accompanied by two or moreof the following physiological changes: fatigue, vivid and unpleasant dreams, insomniaor hypersomnia, increased appetite, and psychomotor retardation or agitation. Acutewithdrawal symptoms (a “crash”) can be seen after periods of repetitive high-dose use.Depressive symptoms with suicidal ideation or behavior can occur.Diagnostic Criteria for Stimulant WithdrawalA.Cessation of (or reduction in) prolonged amphetamine-type substance, cocaine, orother stimulant use.B.Dysphoric mood and two (or more) of the following physiological changes, devel-oping within a few hours to several days after Criterion A:1. Fatigue.2.Vivid, unpleasant dreams.3.Insomnia or hypersomnia.4.Increased appetite.5.Psychomotor retardation or agitation.C.The signs or symptoms in Criterion B cause clinically significant distress or impair-ment in social, occupational, or other important areas of functioning.D.The signs or symptoms are not attributable to another medical condition and arenot better explained by another mental disorder, including intoxication or withdrawalfrom another substance.Specifythe specific substance that causes the withdrawal syndrome(i.e., am-phetamine-type substance, cocaine, or other stimulant).Coding note:The ICD-9-CM code is292.0.The ICD-10-CM code depends on whetherthe stimulant is an amphetamine, cocaine, or other stimulant. The ICD-10-CM code foramphetamine or an other stimulant withdrawal isF15.23,and the ICD-10-CM for cocainewithdrawal isF14.23.Note that the ICD-10-CM code indicates the comorbid presence ofa moderate or severe amphetamine, cocaine, or other stimulant use disorder, reflectingthe fact that amphetamine, cocaine, or other stimulant withdrawal can only occur in thepresence of a moderate or severe amphetamine, cocaine, or other stimulant use disorder.
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