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F15.122

Billable

Other stimulant abuse with intoxication with perceptual disturbance

HCC Category Mapping

V28HCC 137Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358
V24HCC 55Drug/Alcohol Dependence
0.334
ESRDHCC 55Drug/Alcohol Dependence
0.000

What This Code Means

Misuse of stimulant drugs (like cocaine or amphetamines) causing intoxication with hallucinations or other sensory disturbances.

Coding Tips

  • Document the specific stimulant substance when possible (cocaine, amphetamine, etc.) for more precise coding
  • Verify that perceptual disturbances are present during the intoxication episode to distinguish from other intoxication codes

Clinical Significance

Other stimulant abuse with intoxication with perceptual disturbance captures sensory misperceptions occurring during intoxication with non-cocaine stimulants. Methamphetamine and amphetamine intoxication can produce visual hallucinations, tactile hallucinations (bugs crawling on skin), and paranoid ideation with perceptual components. These symptoms are common in methamphetamine users and represent an intermediate severity between uncomplicated intoxication and full psychotic disorder.

Documentation Requirements

  • Provider documentation of stimulant abuse (not dependence)
  • Documentation of active intoxication
  • Specific description of perceptual disturbances (visual, tactile, auditory)
  • Identification of the specific stimulant when possible
  • Assessment distinguishing perceptual disturbance from delirium or psychosis
  • Documentation that disturbances are transient and related to intoxication
  • Vital signs and neurological assessment

Commonly Confused Codes

Code Hierarchy

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