Other stimulant dependence with withdrawal

This code signifies a patient's physiological and psychological reliance on stimulants other than cocaine or amphetamines, accompanied by the characteristic signs and symptoms of withdrawal upon cessation or reduction of use. This dependence is marked by a compulsive pattern of stimulant seeking and use despite harmful consequences, with withdrawal manifesting as dysphoria, fatigue, vivid unpleasant dreams, insomnia or hypersomnia, increased appetite, and psychomotor agitation or retardation.

Assign this code when documentation clearly indicates dependence on stimulants such as methylphenidate, ecstasy, or bath salts, and the patient is currently experiencing withdrawal symptoms. Supporting documentation should detail the specific stimulant, evidence of dependence (e.g., tolerance, unsuccessful attempts to cut down, continued use despite problems), and a description of the withdrawal syndrome.

• Ensure the documentation specifies "dependence" and not just "abuse" or "use" for this code.
• Verify that the stimulant is not cocaine or an amphetamine, as those have specific dependence codes.
• Do not code this with F15.22- (other stimulant dependence with intoxication) due to the Excludes1 note.