A. Recent use of an amphetamine-type substance. cocaine, or other stimulant.
B. Clinically significant problematic behavioral or psychological changes (e.g., euphoria anxiety, tension, or anger; stereotyped behaviors; impaired judgment) that developed during, or shortly after, use of a stimulant.
C. Two (or more) of the following signs or symptoms, developing during. or shortly after, stimulant use:
Tachycardia or bradycardia.
Pupillary dilation.
Elevated or lowered blood pressure.
Perspiration or chills.
Nausea or vomiting.
Evidence of weight loss.
Psychomotor agitation or retardation.
Muscular weakness, respiratory depression, chest pain, or cardiac arrhythmias.
Confusion. seizures, dyskinesias, dystonias, or come.
D. The signs or symptoms are not attributable to another medical condition and are not better explained by another mental disorder, including intoxication with another sub- stance.
Specify the specific intoxicant (i.e., amphetamine-type substance, cocaine, or other stimulant).
Specify it:
With perceptual disturbances: This specifier may be noted when hallucinations with intact reality testing or auditory, visual, or tactile illusions occur in the absence of a de- lirium.
Coding note: The |CD-9-CM code is 292.89. The |CD-10-CM code depends on whether the stimulant is an amphetamine, cocaine, or other stimulant; whether there is a comorbid amphetamine, cocaine, or other stimulant use disorder; and whether or not there are per- ceptual disturbances.
For amphetamine, cocaine, or other stimulant intoxication, without perceptual dis- turbances: If a mild amphetamine or other stimulant use disorder is comorbid, the ICD- 10-CM code is F15.129, and it a moderate or severe amphetamine or other stimulant use disorder is comorbid, the |CD-10-CM code is F15.229. If there is no comorbid amphet- amine or other stimulant use disorder, then the |CD-10—CM code is F15.929. Similarly, it a mild cocaine use disorder is comorbid. the lCD-10-CM code is F14.129, and it a mod- erate or severe cocaine use disorder is comorbid, the |CD-10-CM code is F14.229. If there is no comorbid cocaine use disorder, then the lCD-10-CM code is F14.929.
For amphetamine, cocaine, or other stimulant intoxication, with perceptual distur- bances: If a mild amphetamine or other stimulant use disorder is comorbid, the |CD-10-
CM code is F15.122, and if a moderate or severe amphetamine or other stimulant use disorder is comorbid, the |CD-10-CM code is F15.222. If there is no comorbid amphet- amine or other stimulant use disorder, then the lCD-10—CM code is F15.922. Similarly, if a mild cocaine use disorder is comorbid, the |CD-10-CM code is F14.122, and it a mod- erate or severe cocaine use disorder is comorbid, the lCD-10-CM code is F14.222. If there is no comorbid cocaine use disorder, then the |CD-10-CM code is F14.922.