2025 ICD-10-CM code F15.282
Other stimulant dependence with stimulant-induced sleep disorder.This condition involves dependence on a stimulant not otherwise specified, accompanied by sleep disturbances.
Medical necessity is established by the documented presence of stimulant dependence and the associated sleep disorder, impacting the patient's overall health and functioning.
Providers diagnose the condition based on medical history, signs and symptoms, a detailed inquiry into an individual’s personal and social behaviors, and physical examination. Long–term methamphetamine use can be easily identified by scattered skin sores, tooth decay and missing teeth, and extreme weight loss. Laboratory studies may include tests of blood, urine, and other bodily fluids and hair for stimulants levels. A sleep study may be performed. Treatment approaches include cognitive behavioral therapy (CBT), psychotherapy, admission to a residential treatment center, and group therapy. There are no effective drugs to prevent abuse or treat withdrawal symptoms, but other drugs such as sedatives and anxiolytics may be used to treat certain symptoms.
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- Mental and behavioral disorders due to psychoactive substance use (F10-F19)
In simple words: This diagnosis means a person is addicted to a stimulant drug, other than those specifically listed, and their addiction is causing problems with their sleep.
Other stimulant dependence with stimulant-induced sleep disorder refers to the inability to stop using a stimulant drug because the individual has developed a tolerance (more and more is needed to achieve the same effect that a lesser amount previously achieved) and suffers physical and/or mental symptoms upon abrupt withdrawal of the substance with decreased or disturbed sleep. The provider documents a stimulant not represented by another code.
Example 1: A patient presents with difficulty sleeping, anxiety, and irritability. They admit to using high doses of an unspecified stimulant regularly and experience withdrawal symptoms when they try to stop. A sleep study confirms sleep disturbances., A patient is admitted for detoxification from an unknown stimulant. During the withdrawal period, they experience severe insomnia and nightmares. The patient reports a history of stimulant dependence., A patient with a history of stimulant dependence seeks treatment for their addiction.They report struggling with sleep disturbances, including difficulty falling asleep and frequent awakenings, which they attribute to their stimulant use.
Documentation should include type of stimulant, current severity of dependence, presence of any complications (such as sleep disorder), and remission status.
- Specialties:Addiction Medicine, Psychiatry, Sleep Medicine
- Place of Service:Inpatient Hospital, Residential Substance Abuse Treatment Facility, Outpatient Hospital, Office