Other stimulant abuse with withdrawal

This code signifies a pattern of problematic stimulant use that leads to clinically significant impairment or distress, specifically when the patient is experiencing withdrawal symptoms. It applies to abuse of stimulants other than cocaine or methamphetamine, such as amphetamines, methylphenidate, or ecstasy. The withdrawal symptoms typically manifest as dysphoric mood, fatigue, unpleasant dreams, increased appetite, psychomotor agitation or retardation, and insomnia or hypersomnia.

Use this code when documentation clearly indicates a diagnosis of stimulant abuse (not dependence) and the patient is currently exhibiting or has recently exhibited withdrawal symptoms from that stimulant. Supporting documentation should include a detailed history of stimulant use, a mental status examination, and a description of the specific withdrawal symptoms observed or reported.

• Differentiate between abuse and dependence; this code is specifically for abuse.
• Ensure the stimulant is not cocaine or methamphetamine, as those have specific codes.
• Always sequence this code as a primary diagnosis if it is the reason for the encounter, or as a secondary diagnosis if it is an co-occurring condition.