F15.181
BillableOther stimulant abuse with stimulant-induced sexual dysfunction
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
Sexual dysfunction (erectile dysfunction, decreased libido, or other sexual problems) directly caused by stimulant drug abuse.
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 dependenceF15.981 — Stimulant use, unspecified with sexual dysfunction; less specific regarding use patternN52.9 — Male erectile dysfunction, unspecified; use for organic causes, not substance-inducedF52.0 — Hypoactive sexual desire disorder; use for primary sexual dysfunction, not substance-induced
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