Other stimulant dependence with intoxication delirium

This code signifies a patient's physiological and psychological dependence on stimulants other than cocaine or amphetamines, coupled with acute intoxication manifesting as delirium. This delirium involves a disturbance in attention and awareness, developing over a short period and fluctuating in severity.

Apply this code when documentation clearly indicates dependence on stimulants like ecstasy (MDMA), bath salts, or prescription stimulants not specified as amphetamines, alongside an acute confusional state directly attributable to the stimulant's intoxicating effects. Supporting documentation should detail the specific stimulant, evidence of dependence (e.g., tolerance, withdrawal symptoms, compulsive use), and the presence of delirium symptoms.

• Ensure the documentation specifies "dependence" and not just "abuse" or "use" for the stimulant.
• Verify that the delirium is directly linked to the stimulant intoxication and not an underlying medical condition or another mental disorder.
• Always code the specific stimulant if known and documented, using additional codes from the T43.6- category to identify the substance.