F15.13 maps to CMS-HCC V28 137. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC Buddy coding tools

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

Code lookupF15.13

Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)

F15.13

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other stimulant abuse with withdrawal

Withdrawal symptoms occurring after stopping or reducing use of stimulant drugs like cocaine or amphetamines.

Buddy Insight

Other stimulant abuse with withdrawal captures withdrawal symptoms in a patient abusing non-cocaine stimulants (amphetamines, methamphetamine, prescription stimulants).

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

Mapped

HCC 137

Drug Use Disorder, Moderate/S...

Coefficient HCC 137: 0.424 (Community Non-Dual Aged (CNA))

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

Mapped

HCC 082

HHS-HCC 082 adult, RAF varies...

Code-level coefficient reference

ESRD/PACE

Mapped

HCC 55

Substance Use Disorder/Modera...

Code-level coefficient reference

RXHCC

N/A

—

Not risk-adjusted for this model/period.

Not mapped

Code Book Path

Official

F15Other stimulant related disorders F15.1Other stimulant abuse F15.13Other stimulant abuse with withdrawal

Inclusion Terms

Official

No inclusion terms are included in this display for F15.13. Check the code and parent instructions in the Code Book.

Excludes 2

Official

symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99, F15
cocaine-related disorders (F14.-)Inherited from F01-F99, F15

Related Codes

Official

F15.10Other stimulant abuse, uncomplicated F15.11Other stimulant abuse, in remission F15.12Other stimulant abuse with intoxication F15.14Other stimulant abuse with stimulant-induced mood disorder F15.15Other stimulant abuse with stimulant-induced psychotic disorder

Includes

Official

disorders of psychological developmentInherited from F01-F99, F15
amphetamine-related disordersInherited from F01-F99, F15
caffeineInherited from F01-F99, F15

Excludes 1

Official

other stimulant dependence (F15.2-)Inherited from F15.1
other stimulant use, unspecified (F15.9-)Inherited from F15.1

Code First

Official

No Code First sequencing instructions are included in this display for F15.13. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F15.13. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F15.13. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance

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)

MEAT Support

HCC Buddy guidance

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)

Audit Caution

HCC Buddy guidance

Coding withdrawal while the patient is still actively using stimulants

Confusing withdrawal depression with a primary depressive disorder

Using cocaine withdrawal codes for non-cocaine stimulant withdrawal

Not distinguishing abuse from dependence patterns

Common Mistakes

HCC Buddy guidance

F15.23 — Other stimulant dependence with withdrawal: use when the pattern is dependence

F15.14 — Other stimulant abuse with stimulant-induced mood disorder: use when a persistent mood disorder extends beyond typical withdrawal

F14.13 — Cocaine abuse with withdrawal: use for cocaine-specific withdrawal

F15.10 — Other stimulant abuse, uncomplicated: use when no withdrawal symptoms are present

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is F15.13 an HCC code?

Yes. F15.13 (Other stimulant abuse with withdrawal) maps to HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.424. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: F15.13 is billable and maps to V28 HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code: F15.13
Description: Other stimulant abuse with withdrawal
HCC (V28): HCC 137 — Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications
RAF reference coefficient: 0.424
Billable: Yes
Payment year: 2026

HCC Category Mapping

V28HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications

0.424

ESRDHCC 55, Substance Use Disorder/Moderate/Severe/Substance Use with Complications

Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work F15.13 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F15.13

For F15.13, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
EEvaluate: test results, medication response, or physical findings reviewed by the provider
AAssess: explicit mention in the assessment or plan with acknowledgment of status
TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Coder workflow notes

Get the V28 mapping + MEAT cheat sheet

One printable reference: check representative V28 mappings and the documentation reminders your note needs. Free, no card.

Free PDF. No card. Unsubscribe anytime.

What This Code Means

F15.13 is the ICD-10-CM diagnosis code for other stimulant abuse with withdrawal. Withdrawal symptoms occurring after stopping or reducing use of stimulant drugs like cocaine or amphetamines. F15.13 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).

Under the CMS-HCC V28 risk adjustment model, F15.13 maps to Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications (HCC 137) with a source-labeled community, non-dual, aged reference coefficient of 0.424. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Document specific withdrawal symptoms (fatigue, depression, anxiety) when present to support medical necessity. For F15.13, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F15.13 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

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 dependence
•F15.14: Other stimulant abuse with stimulant-induced mood disorder: use when a persistent mood disorder extends beyond typical withdrawal
•F14.13: Cocaine abuse with withdrawal: use for cocaine-specific withdrawal
•F15.10: Other stimulant abuse, uncomplicated: use when no withdrawal symptoms are present
•F15.120: Other stimulant abuse with intoxication, uncomplicated: opposite scenario (intoxication vs. withdrawal)