2027 ICD-10-CM Diagnosis Code F15.181Other stimulant abuse with stimulant-induced sexual dysfunction

ICD-10-CM Codes›F01–F99›F10-F19›F15

ICD-10-CM F15.181
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F15.181 is a billable ICD-10-CM diagnosis code for other stimulant abuse with stimulant-induced sexual dysfunction. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 894 through 897. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Stimulant-related disorders.

For Medicare Advantage risk adjustment, F15.181 maps to CMS-HCC Category 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications) under the V28 model, adding a risk factor of about 0.424 for a community, non-dual, aged beneficiary in payment year 2027.

Code Identity

ICD-10-CM Code
F15.181
Billable Status
Yes — Valid for Submission
Code Describes
Other stimulant abuse with stimulant-induced sexual dysfunction
Short Description
Oth stimulant abuse w stimulant-induced sexual dysfunction
Parent Code
Other stimulant abuse with other stimulant-induced disorder

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF10-F19Mental and behavioral disorders due to psychoactive substance use
CategoryF15Other stimulant related disorders
This CodeF15.181Other stimulant abuse with stimulant-induced sexual dysfunction

Medicare Risk Adjustment (HCC)Billing

F15.181 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2027.

CMS-HCC V28 Category (Payment Model)
HCC 137— Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications
Payment HCC · PY 2027 one of 308 ICD-10-CM codes in this category
Risk Adjustment Factor (RAF) Weight
+0.424
community, non-dual, aged · ranges 0.297–0.502 across segments
Hierarchy
Superseded by HCC 135 and HCC 136
a more severe related category takes the payment when both are reported
Prior Model (CMS-HCC V24)
HCC 55
V24 retired V28 pays 100% of MA risk scores since PY 2026
Other CMS Models
PACE (CMS-HCC V22): HCC 55 · ESRD (V21): HCC 55 · ESRD (V24): HCC 55
ESRD V21 weights: 0.048 dialysis, 0.112–0.352 functioning graft · ESRD V24 weights: 0.111 dialysis, 0.172–0.416 functioning graft
Part D (RxHCC)
Not mapped
F15.181 does not risk-adjust in the RxHCC prescription drug model

Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to F15.181: its own notes plus those printed at F15.1, F15, and Chapter 5. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From F15 Other stimulant related disorders applies to 48 codes
  • amphetamine-related disorders
  • caffeine
From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • disorders of psychological development

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From F15.1 Other stimulant abuse applies to 16 codes
  • other stimulant dependence (F15.2-)
  • other stimulant use, unspecified (F15.9-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From F15 Other stimulant related disorders applies to 48 codes
  • cocaine-related disorders (F14.-)
From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name F15.181, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming F15.181: they are not reported together with it, unless the two conditions are unrelated.

  • F15.2 Other stimulant dependence
    other stimulant abuse (F15.1-) names F15.1-, which includes this code
  • F15.9 Other stimulant use, unspecified
    other stimulant abuse (F15.1-) names F15.1-, which includes this code

Excludes2 1

These codes carry an Excludes2 note naming F15.181: its condition is not part of those codes, and both may be reported when the patient has both.

  • F14 Cocaine related disorders
    other stimulant-related disorders (F15.-) names F15.-, which includes this code

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD021
Stimulant-related disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Drug Use and Addiction

Drugs are chemical substances that can change how your body and mind work. They include prescription medicines, over-the-counter medicines, alcohol, tobacco, and illegal drugs.

The full article covers:

  • What are drugs?
  • What is drug use?
  • What is drug addiction?
  • Does everyone who takes drugs become addicted?
  • Who is at risk for drug addiction?
  • What are the signs that someone has a drug problem?
  • What are the treatments for drug addiction?
  • Can drug use and addiction be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert F15.181 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
292.89 Drug mental disorder NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About F15.181Overview

What is the ICD-10 code for other stimulant abuse with stimulant-induced sexual dysfunction?

The ICD-10-CM code for other stimulant abuse with stimulant-induced sexual dysfunction is F15.181 (sometimes written as F15181). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is F15.181 (Other stimulant abuse with other stimulant-induced disorder) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other stimulant abuse with stimulant-induced sexual dysfunction on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does F15.181 group to?

When other stimulant abuse with stimulant-induced sexual dysfunction is the principal diagnosis on an inpatient stay, it groups to MS-DRG 894, 897, 895, 896, with relative weights from 0.6272 to 1.6610 depending on complications. Higher weights mean higher Medicare reimbursement.

Can F15.181 be reported with a code from F15.2?

Not as a rule. The Excludes1 note at F15.1, which applies to F15.181, lists "other stimulant dependence (F15.2-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of F15.181?

Under the General Equivalence Mappings, other stimulant abuse with stimulant-induced sexual dysfunction converts to ICD-9-CM 292.89 (drug mental disorder NEC). The mapping is approximate, so confirm the match fits the documentation.

What HCC is F15.181?

F15.181 (other stimulant abuse with stimulant-induced sexual dysfunction) maps to CMS-HCC Category 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), commonly written as HCC 137, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2027. It mapped to HCC 55 under the retired V24 model. It also maps in the PACE (CMS-HCC V22), ESRD (V21), and ESRD (V24) models. It does not map to any RxHCC in the Part D prescription drug model.

Does F15.181 risk-adjust for Medicare Advantage payment?

Yes. When documented and reported on a Medicare Advantage encounter, F15.181 adds a risk adjustment factor of about 0.424 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.297 to 0.502 depending on the payment segment). A more severe related category (HCC 135 and HCC 136) supersedes it when both are reported. See the full factor table on the HCC 137 category page.