F15.182
BillableOther stimulant abuse with stimulant-induced sleep 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
Sleep problems (insomnia, hypersomnia, or other sleep disturbances) directly caused by stimulant drug abuse.
Coding Tips
- •Document the specific sleep disturbance (insomnia, excessive daytime sleepiness, etc.) when documented
- •Note that stimulants commonly cause insomnia during use and hypersomnia during withdrawal
Clinical Significance
Stimulant-induced sleep disorder during abuse is one of the most common complications of stimulant use, as these drugs directly disrupt sleep architecture through dopaminergic and noradrenergic mechanisms. Insomnia during active use and hypersomnia during withdrawal are hallmark features. Documenting this complication accurately captures the full burden of the substance use disorder for risk adjustment.
Documentation Requirements
- ✓Documented stimulant abuse pattern with substance identified when possible
- ✓Specific sleep disorder described (insomnia, hypersomnia, parasomnia, circadian rhythm disruption)
- ✓Temporal relationship between stimulant use and sleep disturbance onset
- ✓Documentation that sleep disorder is substance-induced rather than a primary sleep disorder
- ✓Impact on functioning and any sleep-related treatment interventions
Commonly Confused Codes
F15.282 — Stimulant dependence with sleep disorder; requires documented dependenceF15.982 — Stimulant use, unspecified with sleep disorder; use when use pattern is unspecifiedG47.00 — Insomnia, unspecified; use for primary insomnia, not substance-inducedG47.10 — Hypersomnia, unspecified; use for primary hypersomnia, not substance-inducedF14.182 — Cocaine abuse with cocaine-induced sleep disorder; use when cocaine is specifically identified
Code Hierarchy
└F15Other stimulant related disorders└F15.1Other stimulant abuse└F15.18Other stimulant abuse with other stimulant-induced disorder└F15.182Other stimulant abuse with stimulant-induced sleep disorder
└F15.182Other stimulant abuse with stimulant-induced sleep disorder