F15.280

Billable

Other stimulant dependence with stimulant-induced anxiety disorder

HCC Category Mapping

V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe

0.358

V24HCC 55 — Drug/Alcohol Dependence

0.334

ESRDHCC 55 — Drug/Alcohol Dependence

0.000

What This Code Means

A person is dependent on stimulant drugs (like cocaine, amphetamines, or similar substances) and experiences anxiety disorder as a direct result of their stimulant use. The anxiety symptoms are caused by and connected to the stimulant substance abuse.

Coding Tips

•This code requires documentation of both the stimulant dependence AND the anxiety disorder being stimulant-induced; do not use this code if anxiety exists independently of the substance use
•The '280' specifies 'with stimulant-induced anxiety disorder' - verify the clinical record clearly links the anxiety symptoms to stimulant use rather than coding anxiety as a separate comorbidity

Clinical Significance

Stimulant dependence with stimulant-induced anxiety disorder reflects a common complication where chronic stimulant use triggers or exacerbates anxiety through persistent sympathomimetic activation. Patients with stimulant dependence frequently develop anxiety that persists beyond acute intoxication, complicating treatment and recovery. Capturing this dual diagnosis supports accurate severity representation and resource allocation.

Documentation Requirements

✓Documented stimulant dependence
✓Clinical description of anxiety disorder symptoms (panic, generalized anxiety, phobic features)
✓Documentation that anxiety is induced by stimulant use, not a pre-existing condition
✓Temporal relationship between stimulant use pattern and anxiety onset or exacerbation
✓Treatment addressing both the anxiety disorder and the underlying dependence

Commonly Confused Codes

F15.180 — Stimulant abuse with anxiety disorder; requires abuse rather than dependence F15.980 — Stimulant use, unspecified with anxiety disorder; less specific regarding use pattern F41.1 — Generalized anxiety disorder; primary anxiety, not substance-induced F41.0 — Panic disorder; primary panic, not substance-induced F14.280 — Cocaine dependence with anxiety disorder; use when cocaine is identified

Code Hierarchy

└F15Other stimulant related disorders └F15.2Other stimulant dependence └F15.28Other stimulant dependence with other stimulant-induced disorder └F15.280Other stimulant dependence with stimulant-induced anxiety disorder

└F15.280Other stimulant dependence with stimulant-induced anxiety disorder