F15.180
BillableOther stimulant abuse with stimulant-induced anxiety disorder
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
Anxiety disorder directly caused by stimulant drug abuse.
Coding Tips
- •Document specific anxiety symptoms (panic, generalized anxiety, social anxiety) when available
- •Confirm the anxiety is substance-induced rather than a pre-existing anxiety disorder
Clinical Significance
Stimulant-induced anxiety disorder in the context of stimulant abuse reflects a clinically significant mental health complication directly caused by substance use. Stimulants commonly trigger anxiety through sympathomimetic effects, and documenting this causal relationship is important for treatment planning and risk adjustment. This complication indicates higher resource utilization than uncomplicated substance abuse.
Documentation Requirements
- ✓Documented stimulant abuse pattern with specific substance identified when possible
- ✓Clinical description of anxiety symptoms (panic attacks, generalized anxiety, social anxiety)
- ✓Clear documentation that anxiety is induced by stimulant use rather than a pre-existing condition
- ✓Temporal relationship between stimulant use and onset of anxiety symptoms
- ✓Treatment plan addressing both the substance abuse and anxiety disorder
Commonly Confused Codes
F15.280 — Stimulant dependence with anxiety disorder; requires documented dependence rather than abuseF15.980 — Stimulant use, unspecified with anxiety disorder; use when abuse vs. dependence is not specifiedF41.1 — Generalized anxiety disorder; this is a primary anxiety disorder, not substance-inducedF41.0 — Panic disorder; use only for primary panic disorder, not stimulant-induced panicF14.180 — Cocaine abuse with cocaine-induced anxiety disorder; use when cocaine is the identified stimulant
Code Hierarchy
└F15Other stimulant related disorders└F15.1Other stimulant abuse└F15.18Other stimulant abuse with other stimulant-induced disorder└F15.180Other stimulant abuse with stimulant-induced anxiety disorder
└F15.180Other stimulant abuse with stimulant-induced anxiety disorder