F15.288
BillableOther stimulant dependence with other stimulant-induced disorder
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is F15.288 an HCC code?
Yes. F15.288 maps to Drug Use Disorder/Substance Use Disorder, Moderate/Severe under the CMS-HCC V28 risk adjustment model (and Drug/Alcohol Dependence under V24).
HCC Category Mapping
RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.
MEAT Criteria for F15.288
For F15.288 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically — it has to be re-documented and supported each calendar year.
- MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
- EEvaluate: test results, medication response, or physical findings reviewed by the provider
- AAssess: explicit mention in the assessment or plan with acknowledgment of status
- TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis
Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed F15.288 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
F15.288 is the ICD-10-CM diagnosis code for other stimulant dependence with other stimulant-induced disorder. A person dependent on stimulant drugs who is experiencing other medical or psychiatric complications directly caused by their stimulant use, not specified elsewhere. F15.288 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).
Under the CMS-HCC V28 risk adjustment model, F15.288 maps to Drug Use Disorder/Substance Use Disorder, Moderate/Severe (HCC 137) with a community, non-dual, aged base RAF weight of 0.358. Under the older CMS-HCC V24 model, F15.288 maps to Drug/Alcohol Dependence (HCC 55) with a community, non-dual, aged base RAF weight of 0.334. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.
Use this code only when the stimulant-induced disorder does not fit into other specific F15.28x categories. Because F15.288 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F15.288 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when the stimulant-induced disorder does not fit into other specific F15.28x categories
- •Document the specific disorder in clinical notes to support medical necessity and justify treatment
Clinical Significance
This code captures other stimulant-induced disorders in dependent patients that do not fit into the specific categories of psychosis, mood, anxiety, sexual dysfunction, or sleep disorders. Examples include stimulant-induced obsessive-compulsive symptoms, movement disorders (dyskinesias, tics), or neurocognitive impairment. These less common complications still warrant documentation for complete clinical and risk adjustment representation.
Documentation Requirements
- ✓Documented stimulant dependence
- ✓Specific description of the 'other' induced disorder
- ✓Causal relationship between stimulant dependence and the disorder
- ✓Documentation that the disorder does not fit into other specific F15.28x categories
- ✓Treatment plan for the induced disorder and ongoing dependence management