F15.282
BillableOther stimulant dependence 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
A person dependent on stimulant drugs who is experiencing sleep disturbances or insomnia caused by their stimulant use.
Coding Tips
- •Document the specific sleep disorder (insomnia, hypersomnia, etc.) if known to provide clinical clarity
- •Distinguish between stimulant-induced sleep disorder and primary sleep disorders unrelated to substance use
Clinical Significance
Stimulant dependence with stimulant-induced sleep disorder is extremely common, as stimulants directly disrupt sleep-wake regulation. Chronic dependence leads to severe insomnia during use and rebound hypersomnia during withdrawal or cessation attempts. This sleep disruption compounds the challenges of recovery and increases overall healthcare needs, making accurate documentation critical for risk adjustment.
Documentation Requirements
- ✓Documented stimulant dependence
- ✓Specific sleep disorder identified (insomnia, hypersomnia, circadian rhythm disruption)
- ✓Causal relationship between stimulant dependence and sleep disturbance
- ✓Impact on daily functioning and recovery efforts
- ✓Sleep assessment findings and any treatment interventions (pharmacologic or behavioral)
Commonly Confused Codes
F15.182 — Stimulant abuse with sleep disorder; requires abuse rather than dependenceF15.982 — Stimulant use, unspecified with sleep disorder; less specific regarding use patternG47.00 — Insomnia, unspecified; primary insomnia, not substance-inducedG47.10 — Hypersomnia, unspecified; primary hypersomnia, not substance-induced
Code Hierarchy
└F15Other stimulant related disorders└F15.2Other stimulant dependence└F15.28Other stimulant dependence with other stimulant-induced disorder└F15.282Other stimulant dependence with stimulant-induced sleep disorder
└F15.282Other stimulant dependence with stimulant-induced sleep disorder