F15.13
BillableOther stimulant abuse with withdrawal
HCC Category Mapping
V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358V24HCC 55 — Drug/Alcohol Dependence
0.334ESRDHCC 55 — Drug/Alcohol Dependence
0.000What This Code Means
Withdrawal symptoms occurring after stopping or reducing use of stimulant drugs like cocaine or amphetamines.
Coding Tips
- •Document specific withdrawal symptoms (fatigue, depression, anxiety) when present to support medical necessity
- •Distinguish from intoxication codes; withdrawal occurs after cessation or reduction of use
Clinical Significance
Other stimulant abuse with withdrawal captures withdrawal symptoms in a patient abusing non-cocaine stimulants (amphetamines, methamphetamine, prescription stimulants). Stimulant withdrawal presents primarily with psychological symptoms: severe depression, anhedonia, fatigue, hypersomnia, increased appetite, and psychomotor retardation. Methamphetamine withdrawal can be particularly prolonged due to the drug's neurotoxic effects on dopamine neurons. Suicide risk is elevated during the withdrawal phase due to profound dysphoria.
Documentation Requirements
- ✓Provider documentation of stimulant abuse (not dependence)
- ✓Identification of the specific stimulant when possible
- ✓Documentation of recent cessation or reduction of stimulant use
- ✓Specific withdrawal symptoms described (depression, fatigue, anhedonia, hypersomnia, increased appetite, psychomotor changes)
- ✓Timeline of symptom onset relative to last stimulant use
- ✓Suicide risk assessment
- ✓Treatment plan for managing withdrawal
Commonly Confused Codes
F15.23 — Other stimulant dependence with withdrawal: use when the pattern is dependenceF15.14 — Other stimulant abuse with stimulant-induced mood disorder: use when a persistent mood disorder extends beyond typical withdrawalF14.13 — Cocaine abuse with withdrawal: use for cocaine-specific withdrawalF15.10 — Other stimulant abuse, uncomplicated: use when no withdrawal symptoms are presentF15.120 — Other stimulant abuse with intoxication, uncomplicated: opposite scenario (intoxication vs. withdrawal)
Code Hierarchy
└F15Other stimulant related disorders└F15.1Other stimulant abuse└F15.13Other stimulant abuse with withdrawal
└F15.13Other stimulant abuse with withdrawal