F15.281
BillableOther stimulant dependence 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
A person dependent on stimulant drugs who is experiencing sexual dysfunction (such as erectile dysfunction or decreased sexual desire) caused by their stimulant use.
Coding Tips
- •Ensure documentation clearly links the sexual dysfunction to stimulant dependence rather than other medical causes
- •Consider coding any underlying erectile dysfunction or sexual arousal disorder separately if clinically relevant
Clinical Significance
Stimulant dependence with stimulant-induced sexual dysfunction reflects a significant quality-of-life complication of chronic stimulant use. While stimulants may initially enhance sexual performance, chronic use frequently leads to erectile dysfunction, anorgasmia, decreased libido, and other sexual problems. Documenting this complication captures the full clinical burden of dependence.
Documentation Requirements
- ✓Documented stimulant dependence
- ✓Specific sexual dysfunction described (erectile dysfunction, decreased libido, anorgasmia, delayed ejaculation)
- ✓Causal relationship between chronic stimulant use and sexual dysfunction
- ✓Exclusion of other causes (vascular disease, medications, endocrine disorders)
- ✓Impact on patient functioning and any treatment interventions
Commonly Confused Codes
F15.181 — Stimulant abuse with sexual dysfunction; requires abuse rather than dependenceF15.981 — Stimulant use, unspecified with sexual dysfunction; less specific regarding use patternN52.9 — Male erectile dysfunction, unspecified; primary organic cause, not substance-inducedF52.21 — Male erectile disorder; primary sexual dysfunction, not substance-induced
Code Hierarchy
└F15Other stimulant related disorders└F15.2Other stimulant dependence└F15.28Other stimulant dependence with other stimulant-induced disorder└F15.281Other stimulant dependence with stimulant-induced sexual dysfunction
└F15.281Other stimulant dependence with stimulant-induced sexual dysfunction