ICD-10 Coding for Amphetamine Abuse(F15.10, F15.20)
Complete ICD-10-CM coding and documentation guide for Amphetamine Abuse. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Amphetamine Abuse
F15.1-F15.2Primary Range
Mental and behavioral disorders due to use of stimulants, including amphetamines
This range covers all ICD-10 codes related to amphetamine abuse and dependence, including associated conditions like intoxication and mood disorders.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F15.10 | Amphetamine abuse, uncomplicated | Use when patient exhibits amphetamine abuse without any complications or dependence. |
|
| F15.20 | Amphetamine dependence, severe | Use when patient meets criteria for severe dependence, including tolerance and withdrawal. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for amphetamine abuse
Essential facts and insights about Amphetamine Abuse
Primary ICD-10-CM Codes for amphetamine abuse
Decision Criteria
clinical Criteria
- Patient reports amphetamine use without meeting dependence criteria.
Applicable To
- Amphetamine abuse without complications
Excludes
- Amphetamine dependence (F15.20)
Clinical Validation Requirements
- Patient reports daily amphetamine use with inability to reduce intake
- Positive urine test for amphetamines
Code-Specific Risks
- Misclassification if dependence criteria are met
Coding Notes
- Ensure documentation specifies 'abuse' and not 'use' or 'dependence'.
F15.20 - Amphetamine dependence, severe
Use when patient meets criteria for severe dependence, including tolerance and withdrawal.
Applicable To
- Severe amphetamine dependence
Excludes
- Amphetamine abuse (F15.10)
Clinical Validation Requirements
- Patient exhibits tremors, cravings, and continued use despite job loss
- Meets ≥6 DSM-5 criteria for dependence
Coding Notes
Document all DSM-5 criteria met to justify severity.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Amphetamine Abuse to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F15.10.
Impact
Clinical: Leads to misinterpretation of patient condition., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Train clinicians on specific documentation requirements., Use templates that prompt for detailed information.
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data affecting clinical decision-making.
Mitigation Strategy
Query provider for clarification on whether criteria for abuse or dependence are met.
Impact
Lack of specific DSM-5 criteria in documentation.
Mitigation Strategy
Implement mandatory fields in EHR for DSM-5 criteria.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Amphetamine Abuse, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Amphetamine Abuse
Use these documentation templates to ensure complete and accurate documentation for Amphetamine Abuse. These templates include all required elements for proper coding and billing.
Outpatient follow-up for amphetamine abuse
Specialty: PsychiatryRequired Elements
- Patient history
- DSM-5 criteria assessment
- Urine toxicology results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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