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F15.181 ICD-10-CM Code: Other stimulant abuse with stimulant-induced sexual dysfunction

F15.181 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

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Code lookupF15.181

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

F15.181

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

Other stimulant abuse with stimulant-induced sexual dysfunction

Sexual dysfunction (erectile dysfunction, decreased libido, or other sexual problems) directly caused by stimulant drug abuse.

Buddy the Bee presenting code insight

Buddy Insight

Stimulant-induced sexual dysfunction during abuse captures an important quality-of-life complication that may not be routinely documented but carries risk adjustment value.

OverviewRisk ModelsCode BookDocumentationAuditNotesEdition comparison

CMS-HCC V28

HCC 137

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

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 082

Code-level coefficient reference

ESRD/PACE

HCC 55

Code-level coefficient reference

RXHCC

N/A

—

Not mapped

Code Book Path

Official
F15.1Other stimulant abuseF15.18Other stimulant abuse with other stimulant-induced disorderF15.181Other stimulant abuse with stimulant-induced sexual dysfunction

Inclusion Terms

Official

No inclusion terms are included in this display for F15.181. 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
F15.180Other stimulant abuse with stimulant-induced anxiety disorderF15.182Other stimulant abuse with stimulant-induced sleep disorderF15.188Other stimulant abuse with other stimulant-induced 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 F15.181. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F15.181. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F15.181. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Documented stimulant abuse pattern
Specific type of sexual dysfunction identified (erectile dysfunction, decreased libido, anorgasmia)
Causal relationship documented between stimulant use and sexual dysfunction onset
Exclusion of other medical causes of sexual dysfunction (vascular, hormonal, medication-related)

MEAT Support

HCC Buddy guidance
Documented stimulant abuse pattern
Specific type of sexual dysfunction identified (erectile dysfunction, decreased libido, anorgasmia)
Causal relationship documented between stimulant use and sexual dysfunction onset
Exclusion of other medical causes of sexual dysfunction (vascular, hormonal, medication-related)

Audit Caution

HCC Buddy guidance
Failing to document the causal link between stimulant use and sexual dysfunction
Coding a primary sexual dysfunction disorder when symptoms are clearly substance-related
Overlooking this diagnosis in the clinical encounter because sexual dysfunction is not routinely assessed
Confusing abuse with dependence level when assigning the 4th character

Common Mistakes

HCC Buddy guidance
F15.281 — Stimulant dependence with sexual dysfunction; requires documented dependence
F15.981 — Stimulant use, unspecified with sexual dysfunction; less specific regarding use pattern
N52.9 — Male erectile dysfunction, unspecified; use for organic causes, not substance-induced
F52.0 — Hypoactive sexual desire disorder; use for primary sexual dysfunction, not substance-induced

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 F15.181 an HCC code?

Yes. F15.181 (Other stimulant abuse with stimulant-induced sexual dysfunction) 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: F15.181 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
F15.181
Description
Other stimulant abuse with stimulant-induced sexual dysfunction
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 F15.181 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F15.181

For F15.181, 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

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What This Code Means

F15.181 is the ICD-10-CM diagnosis code for other stimulant abuse with stimulant-induced sexual dysfunction. Sexual dysfunction (erectile dysfunction, decreased libido, or other sexual problems) directly caused by stimulant drug abuse. F15.181 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, F15.181 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 the specific type of sexual dysfunction when possible for clarity. For F15.181, 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 F15.181 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • •Document the specific type of sexual dysfunction when possible for clarity
  • •Ensure documentation clearly links the sexual dysfunction to stimulant use

Clinical Significance

Stimulant-induced sexual dysfunction during abuse captures an important quality-of-life complication that may not be routinely documented but carries risk adjustment value. Stimulants can cause erectile dysfunction, decreased libido, delayed orgasm, and other sexual problems. Documenting this complication supports comprehensive care planning and accurate severity of illness assessment.

Documentation Requirements

  • ✓Documented stimulant abuse pattern
  • ✓Specific type of sexual dysfunction identified (erectile dysfunction, decreased libido, anorgasmia)
  • ✓Causal relationship documented between stimulant use and sexual dysfunction onset
  • ✓Exclusion of other medical causes of sexual dysfunction (vascular, hormonal, medication-related)
  • ✓Assessment of impact on patient quality of life and any treatment provided

Commonly Confused Codes

  • •F15.281: Stimulant dependence with sexual dysfunction; requires documented dependence
  • •F15.981: Stimulant use, unspecified with sexual dysfunction; less specific regarding use pattern
  • •N52.9: Male erectile dysfunction, unspecified; use for organic causes, not substance-induced
  • •F52.0: Hypoactive sexual desire disorder; use for primary sexual dysfunction, not substance-induced

Child Codes

F15.180Other stimulant abuse with stimulant-induced anxiety disorder
HCC 137
F15.181Other stimulant abuse with stimulant-induced sexual dysfunction
HCC 137
F15.182Other stimulant abuse with stimulant-induced sleep disorder
HCC 137
F15.188Other stimulant abuse with other stimulant-induced disorder
HCC 137

Code Hierarchy

└F15Other stimulant related disorders└F15.1Other stimulant abuse└F15.18Other stimulant abuse with other stimulant-induced disorder└F15.181Other stimulant abuse with stimulant-induced sexual dysfunction
└F15.181Other stimulant abuse with stimulant-induced sexual dysfunction

Also searched as

  • F15 181
  • F15181

For F15.181, 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.

F15.181 maps to CMS-HCC V28 category 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for F15.181. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

Work F15.181 in HCC Buddy

Open F15.181 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.

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