Oth stimulant dependence w stimulant-induced sleep disorder

This code signifies a patient's physiological and psychological dependence on stimulants (e.g., amphetamines, methamphetamine, cocaine) that has led to a co-occurring sleep disturbance. The sleep disorder is directly attributable to the stimulant use, rather than an independent sleep pathology.

Apply this code when documentation clearly indicates a diagnosis of stimulant dependence and a related sleep disorder, such as insomnia or hypersomnia, where the stimulant is identified as the causative factor. This is appropriate when the patient exhibits withdrawal symptoms or continued use despite negative consequences, alongside sleep disturbances.

• Ensure documentation specifies "dependence" and not just "abuse" or "use" to accurately reflect the severity.
• Verify that the sleep disorder is explicitly linked to the stimulant use; if the sleep disorder is pre-existing or unrelated, a separate code for the sleep disorder should be used.
• Consider sequencing this code after any acute intoxication or withdrawal codes, if applicable, to reflect the primary reason for the encounter.