DSM-5 Substance Use Diagnosis ICD-10 Code Severity …

DSM-5 Substance Use Diagnosis

*Required to include DSM-5 diagnosis on Service Request Form

Severity Levels

- Mild = Presence of 2-3 DSM criteria symptoms

- Moderate = Presence of 4-5 DSM criteria symptoms

- Severe = Presence of 6 or more DSM criteria symptoms

MILD

Opioid Use Disorder

MODERATE

SEVERE

Alcohol Use Disorder Cannabis Use Disorder

MILD MODERATE

SEVERE

MILD MODERATE

SEVERE

Examples

Heroin, Hydrocodone (Norco, Vicodin), Oxycodone (OxyContin, Percocet),

Morphine, Hydomorphone (Dilaudid), Codeine (cough syrup), Meperidine (Demerol), Fentanyl, etc.

Beer, liquor, etc.

Marijuana and marijuana-related products

Stimulant Use DisorderAmphetamine-Type Substance

Stimulant Use DisorderCocaine

Sedative, Hypnotic, or Anxiolytic Use Disorder

Other Hallucinogen Use Disorder

Stimulant Use Disorder- Other or Unspecified Stimulant

Phencyclidine (PCP) Use Disorder

Inhalant Use Disorder

MILD MODERATE

SEVERE

MILD MODERATE

SEVERE

MILD MODERATE

SEVERE

MILD MODERATE

SEVERE

MILD MODERATE

SEVERE

MILD MODERATE

SEVERE

MILD MODERATE

SEVERE

Methamphetamine (crystal meth, crank, speed, tweek, glass, etc.)

Cocaine (coke, blow, snow, etc.)

Benzodiazepines (Xanax [alprazolam], Ativan [lorazepam], Valium [diazepam],

Klonopin [clonazepam]) Barbiturates (Pentobarbital, Secobarbital,

etc.) Z-drugs (Ambien [zolpidem], Lunesta [eszopiclone], Sonata [zaleplon], Imrest

[zopiclone], etc.)

LSD (acid), Ecstasy (MDMA), Ketamine, magic mushrooms (Psilocybin), Peyote

(Mescaline), etc.

Ritalin (methylphenidate), Adderrall (dextroamphetamine/ amphetamine),

Vyvanse (lisdexamfetamine), etc.

PCP (phencyclidine)

Glues, spray cans, etc.

ICD-10 Code

*For billing purposes

F11.10 F11.20

F11.20

F10.10 F10.20 F10.20

F12.10 F12.20 F12.20

F15.10 F15.20 F15.20

F14.10 F14.20 F14.20

F13.10 F13.20

F13.20

F16.10 F16.20 F16.20

F15.10 F15.20 F15.20

F16.10 F16.20 F16.20

F18.10 F18.20 F18.20

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