HCC 137 (V28)

Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications

308 ICD-10-CM codes map to this category in the CMS-HCC V28 risk adjustment model for payment year 2027. All 115 HCCs

F11.120Opioid abuse with intoxication, uncomplicated
F11.121Opioid abuse with intoxication delirium
F11.122Opioid abuse with intoxication with perceptual disturbance
F11.129Opioid abuse with intoxication, unspecified
F11.13Opioid abuse with withdrawal
F11.14Opioid abuse with opioid-induced mood disorder
F11.181Opioid abuse with opioid-induced sexual dysfunction
F11.182Opioid abuse with opioid-induced sleep disorder
F11.188Opioid abuse with other opioid-induced disorder
F11.19Opioid abuse with unspecified opioid-induced disorder
F11.20Opioid dependence, uncomplicated
F11.21Opioid dependence, in remission
F11.220Opioid dependence with intoxication, uncomplicated
F11.221Opioid dependence with intoxication delirium
F11.222Opioid dependence with intoxication with perceptual disturbance
F11.229Opioid dependence with intoxication, unspecified
F11.23Opioid dependence with withdrawal
F11.24Opioid dependence with opioid-induced mood disorder
F11.281Opioid dependence with opioid-induced sexual dysfunction
F11.282Opioid dependence with opioid-induced sleep disorder
F11.288Opioid dependence with other opioid-induced disorder
F11.29Opioid dependence with unspecified opioid-induced disorder
F11.920Opioid use, unspecified with intoxication, uncomplicated
F11.921Opioid use, unspecified with intoxication delirium
F11.922Opioid use, unspecified with intoxication with perceptual disturbance
F11.929Opioid use, unspecified with intoxication, unspecified
F11.93Opioid use, unspecified with withdrawal
F11.94Opioid use, unspecified with opioid-induced mood disorder
F11.981Opioid use, unspecified with opioid-induced sexual dysfunction
F11.982Opioid use, unspecified with opioid-induced sleep disorder
F11.988Opioid use, unspecified with other opioid-induced disorder
F11.99Opioid use, unspecified with unspecified opioid-induced disorder
F12.13Cannabis abuse with withdrawal
F12.180Cannabis abuse with cannabis-induced anxiety disorder
F12.188Cannabis abuse with other cannabis-induced disorder
F12.20Cannabis dependence, uncomplicated
F12.21Cannabis dependence, in remission
F12.220Cannabis dependence with intoxication, uncomplicated
F12.221Cannabis dependence with intoxication delirium
F12.222Cannabis dependence with intoxication with perceptual disturbance
F12.229Cannabis dependence with intoxication, unspecified
F12.23Cannabis dependence with withdrawal
F12.280Cannabis dependence with cannabis-induced anxiety disorder
F12.288Cannabis dependence with other cannabis-induced disorder
F12.29Cannabis dependence with unspecified cannabis-induced disorder
F12.93Cannabis use, unspecified with withdrawal
F12.980Cannabis use, unspecified with anxiety disorder
F12.988Cannabis use, unspecified with other cannabis-induced disorder
F13.120Sedative, hypnotic or anxiolytic abuse with intoxication, uncomplicated
F13.121Sedative, hypnotic or anxiolytic abuse with intoxication delirium
F13.129Sedative, hypnotic or anxiolytic abuse with intoxication, unspecified
F13.130Sedative, hypnotic or anxiolytic abuse with withdrawal, uncomplicated
F13.139Sedative, hypnotic or anxiolytic abuse with withdrawal, unspecified
F13.14Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced mood disorder
F13.180Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced anxiety disorder
F13.181Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sexual dysfunction
F13.182Sedative, hypnotic or anxiolytic abuse with sedative, hypnotic or anxiolytic-induced sleep disorder
F13.188Sedative, hypnotic or anxiolytic abuse with other sedative, hypnotic or anxiolytic-induced disorder
F13.19Sedative, hypnotic or anxiolytic abuse with unspecified sedative, hypnotic or anxiolytic-induced disorder
F13.20Sedative, hypnotic or anxiolytic dependence, uncomplicated
F13.21Sedative, hypnotic or anxiolytic dependence, in remission
F13.220Sedative, hypnotic or anxiolytic dependence with intoxication, uncomplicated
F13.221Sedative, hypnotic or anxiolytic dependence with intoxication delirium
F13.229Sedative, hypnotic or anxiolytic dependence with intoxication, unspecified
F13.230Sedative, hypnotic or anxiolytic dependence with withdrawal, uncomplicated
F13.239Sedative, hypnotic or anxiolytic dependence with withdrawal, unspecified
F13.24Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced mood disorder
F13.280Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced anxiety disorder
F13.281Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sexual dysfunction
F13.282Sedative, hypnotic or anxiolytic dependence with sedative, hypnotic or anxiolytic-induced sleep disorder
F13.288Sedative, hypnotic or anxiolytic dependence with other sedative, hypnotic or anxiolytic-induced disorder
F13.29Sedative, hypnotic or anxiolytic dependence with unspecified sedative, hypnotic or anxiolytic-induced disorder
F13.920Sedative, hypnotic or anxiolytic use, unspecified with intoxication, uncomplicated
F13.921Sedative, hypnotic or anxiolytic use, unspecified with intoxication delirium
F13.929Sedative, hypnotic or anxiolytic use, unspecified with intoxication, unspecified
F13.930Sedative, hypnotic or anxiolytic use, unspecified with withdrawal, uncomplicated
F13.939Sedative, hypnotic or anxiolytic use, unspecified with withdrawal, unspecified
F13.94Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced mood disorder
F13.980Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced anxiety disorder
F13.981Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sexual dysfunction
F13.982Sedative, hypnotic or anxiolytic use, unspecified with sedative, hypnotic or anxiolytic-induced sleep disorder
F13.988Sedative, hypnotic or anxiolytic use, unspecified with other sedative, hypnotic or anxiolytic-induced disorder
F13.99Sedative, hypnotic or anxiolytic use, unspecified with unspecified sedative, hypnotic or anxiolytic-induced disorder
F14.120Cocaine abuse with intoxication, uncomplicated
F14.121Cocaine abuse with intoxication with delirium
F14.122Cocaine abuse with intoxication with perceptual disturbance
F14.129Cocaine abuse with intoxication, unspecified
F14.13Cocaine abuse, unspecified with withdrawal
F14.14Cocaine abuse with cocaine-induced mood disorder
F14.180Cocaine abuse with cocaine-induced anxiety disorder
F14.181Cocaine abuse with cocaine-induced sexual dysfunction
F14.182Cocaine abuse with cocaine-induced sleep disorder
F14.188Cocaine abuse with other cocaine-induced disorder
F14.19Cocaine abuse with unspecified cocaine-induced disorder
F14.20Cocaine dependence, uncomplicated
F14.21Cocaine dependence, in remission
F14.220Cocaine dependence with intoxication, uncomplicated
F14.221Cocaine dependence with intoxication delirium
F14.222Cocaine dependence with intoxication with perceptual disturbance
F14.229Cocaine dependence with intoxication, unspecified
F14.23Cocaine dependence with withdrawal
F14.24Cocaine dependence with cocaine-induced mood disorder
F14.280Cocaine dependence with cocaine-induced anxiety disorder
F14.281Cocaine dependence with cocaine-induced sexual dysfunction
F14.282Cocaine dependence with cocaine-induced sleep disorder
F14.288Cocaine dependence with other cocaine-induced disorder
F14.29Cocaine dependence with unspecified cocaine-induced disorder
F14.920Cocaine use, unspecified with intoxication, uncomplicated
F14.921Cocaine use, unspecified with intoxication delirium
F14.922Cocaine use, unspecified with intoxication with perceptual disturbance
F14.929Cocaine use, unspecified with intoxication, unspecified
F14.93Cocaine use, unspecified with withdrawal
F14.94Cocaine use, unspecified with cocaine-induced mood disorder
F14.980Cocaine use, unspecified with cocaine-induced anxiety disorder
F14.981Cocaine use, unspecified with cocaine-induced sexual dysfunction
F14.982Cocaine use, unspecified with cocaine-induced sleep disorder
F14.988Cocaine use, unspecified with other cocaine-induced disorder
F14.99Cocaine use, unspecified with unspecified cocaine-induced disorder
F15.120Other stimulant abuse with intoxication, uncomplicated
F15.121Other stimulant abuse with intoxication delirium
F15.122Other stimulant abuse with intoxication with perceptual disturbance
F15.129Other stimulant abuse with intoxication, unspecified
F15.13Other stimulant abuse with withdrawal
F15.14Other stimulant abuse with stimulant-induced mood disorder
F15.180Other stimulant abuse with stimulant-induced anxiety disorder
F15.181Other stimulant abuse with stimulant-induced sexual dysfunction
F15.182Other stimulant abuse with stimulant-induced sleep disorder
F15.188Other stimulant abuse with other stimulant-induced disorder
F15.19Other stimulant abuse with unspecified stimulant-induced disorder
F15.20Other stimulant dependence, uncomplicated
F15.21Other stimulant dependence, in remission
F15.220Other stimulant dependence with intoxication, uncomplicated
F15.221Other stimulant dependence with intoxication delirium
F15.222Other stimulant dependence with intoxication with perceptual disturbance
F15.229Other stimulant dependence with intoxication, unspecified
F15.23Other stimulant dependence with withdrawal
F15.24Other stimulant dependence with stimulant-induced mood disorder
F15.280Other stimulant dependence with stimulant-induced anxiety disorder
F15.281Other stimulant dependence with stimulant-induced sexual dysfunction
F15.282Other stimulant dependence with stimulant-induced sleep disorder
F15.288Other stimulant dependence with other stimulant-induced disorder
F15.29Other stimulant dependence with unspecified stimulant-induced disorder
F15.920Other stimulant use, unspecified with intoxication, uncomplicated
F15.921Other stimulant use, unspecified with intoxication delirium
F15.922Other stimulant use, unspecified with intoxication with perceptual disturbance
F15.929Other stimulant use, unspecified with intoxication, unspecified
F15.93Other stimulant use, unspecified with withdrawal
F15.94Other stimulant use, unspecified with stimulant-induced mood disorder
F15.980Other stimulant use, unspecified with stimulant-induced anxiety disorder
F15.981Other stimulant use, unspecified with stimulant-induced sexual dysfunction
F15.982Other stimulant use, unspecified with stimulant-induced sleep disorder
F15.988Other stimulant use, unspecified with other stimulant-induced disorder
F15.99Other stimulant use, unspecified with unspecified stimulant-induced disorder
F16.120Hallucinogen abuse with intoxication, uncomplicated
F16.121Hallucinogen abuse with intoxication with delirium
F16.122Hallucinogen abuse with intoxication with perceptual disturbance
F16.129Hallucinogen abuse with intoxication, unspecified
F16.14Hallucinogen abuse with hallucinogen-induced mood disorder
F16.180Hallucinogen abuse with hallucinogen-induced anxiety disorder
F16.183Hallucinogen abuse with hallucinogen persisting perception disorder (flashbacks)
F16.188Hallucinogen abuse with other hallucinogen-induced disorder
F16.19Hallucinogen abuse with unspecified hallucinogen-induced disorder
F16.20Hallucinogen dependence, uncomplicated
F16.21Hallucinogen dependence, in remission
F16.220Hallucinogen dependence with intoxication, uncomplicated
F16.221Hallucinogen dependence with intoxication with delirium
F16.229Hallucinogen dependence with intoxication, unspecified
F16.24Hallucinogen dependence with hallucinogen-induced mood disorder
F16.280Hallucinogen dependence with hallucinogen-induced anxiety disorder
F16.283Hallucinogen dependence with hallucinogen persisting perception disorder (flashbacks)
F16.288Hallucinogen dependence with other hallucinogen-induced disorder
F16.29Hallucinogen dependence with unspecified hallucinogen-induced disorder
F16.920Hallucinogen use, unspecified with intoxication, uncomplicated
F16.921Hallucinogen use, unspecified with intoxication with delirium
F16.929Hallucinogen use, unspecified with intoxication, unspecified
F16.94Hallucinogen use, unspecified with hallucinogen-induced mood disorder
F16.980Hallucinogen use, unspecified with hallucinogen-induced anxiety disorder
F16.983Hallucinogen use, unspecified with hallucinogen persisting perception disorder (flashbacks)
F16.988Hallucinogen use, unspecified with other hallucinogen-induced disorder
F16.99Hallucinogen use, unspecified with unspecified hallucinogen-induced disorder
F18.120Inhalant abuse with intoxication, uncomplicated
F18.121Inhalant abuse with intoxication delirium
F18.129Inhalant abuse with intoxication, unspecified
F18.14Inhalant abuse with inhalant-induced mood disorder
F18.180Inhalant abuse with inhalant-induced anxiety disorder
F18.188Inhalant abuse with other inhalant-induced disorder
F18.19Inhalant abuse with unspecified inhalant-induced disorder
F18.20Inhalant dependence, uncomplicated
F18.21Inhalant dependence, in remission
F18.220Inhalant dependence with intoxication, uncomplicated
F18.221Inhalant dependence with intoxication delirium
F18.229Inhalant dependence with intoxication, unspecified
F18.24Inhalant dependence with inhalant-induced mood disorder
F18.280Inhalant dependence with inhalant-induced anxiety disorder
F18.288Inhalant dependence with other inhalant-induced disorder
F18.29Inhalant dependence with unspecified inhalant-induced disorder
F18.920Inhalant use, unspecified with intoxication, uncomplicated
F18.921Inhalant use, unspecified with intoxication with delirium
F18.929Inhalant use, unspecified with intoxication, unspecified
F18.94Inhalant use, unspecified with inhalant-induced mood disorder
F18.980Inhalant use, unspecified with inhalant-induced anxiety disorder
F18.988Inhalant use, unspecified with other inhalant-induced disorder
F18.99Inhalant use, unspecified with unspecified inhalant-induced disorder
F19.120Other psychoactive substance abuse with intoxication, uncomplicated
F19.121Other psychoactive substance abuse with intoxication delirium
F19.122Other psychoactive substance abuse with intoxication with perceptual disturbances
F19.129Other psychoactive substance abuse with intoxication, unspecified
F19.130Other psychoactive substance abuse with withdrawal, uncomplicated
F19.139Other psychoactive substance abuse with withdrawal, unspecified
F19.14Other psychoactive substance abuse with psychoactive substance-induced mood disorder
F19.180Other psychoactive substance abuse with psychoactive substance-induced anxiety disorder
F19.181Other psychoactive substance abuse with psychoactive substance-induced sexual dysfunction
F19.182Other psychoactive substance abuse with psychoactive substance-induced sleep disorder
F19.188Other psychoactive substance abuse with other psychoactive substance-induced disorder
F19.19Other psychoactive substance abuse with unspecified psychoactive substance-induced disorder
F19.20Other psychoactive substance dependence, uncomplicated
F19.21Other psychoactive substance dependence, in remission
F19.220Other psychoactive substance dependence with intoxication, uncomplicated
F19.221Other psychoactive substance dependence with intoxication delirium
F19.222Other psychoactive substance dependence with intoxication with perceptual disturbance
F19.229Other psychoactive substance dependence with intoxication, unspecified
F19.230Other psychoactive substance dependence with withdrawal, uncomplicated
F19.239Other psychoactive substance dependence with withdrawal, unspecified
F19.24Other psychoactive substance dependence with psychoactive substance-induced mood disorder
F19.280Other psychoactive substance dependence with psychoactive substance-induced anxiety disorder
F19.281Other psychoactive substance dependence with psychoactive substance-induced sexual dysfunction
F19.282Other psychoactive substance dependence with psychoactive substance-induced sleep disorder
F19.288Other psychoactive substance dependence with other psychoactive substance-induced disorder
F19.29Other psychoactive substance dependence with unspecified psychoactive substance-induced disorder
F19.920Other psychoactive substance use, unspecified with intoxication, uncomplicated
F19.921Other psychoactive substance use, unspecified with intoxication with delirium
F19.922Other psychoactive substance use, unspecified with intoxication with perceptual disturbance
F19.929Other psychoactive substance use, unspecified with intoxication, unspecified
F19.930Other psychoactive substance use, unspecified with withdrawal, uncomplicated
F19.939Other psychoactive substance use, unspecified with withdrawal, unspecified
F19.94Other psychoactive substance use, unspecified with psychoactive substance-induced mood disorder
F19.980Other psychoactive substance use, unspecified with psychoactive substance-induced anxiety disorder
F19.981Other psychoactive substance use, unspecified with psychoactive substance-induced sexual dysfunction
F19.982Other psychoactive substance use, unspecified with psychoactive substance-induced sleep disorder
F19.988Other psychoactive substance use, unspecified with other psychoactive substance-induced disorder
F19.99Other psychoactive substance use, unspecified with unspecified psychoactive substance-induced disorder
P04.0Newborn affected by maternal anesthesia and analgesia in pregnancy, labor and delivery
P04.11Newborn affected by maternal antineoplastic chemotherapy
P04.12Newborn affected by maternal cytotoxic drugs
P04.13Newborn affected by maternal use of anticonvulsants
P04.14Newborn affected by maternal use of opiates
P04.15Newborn affected by maternal use of antidepressants
P04.16Newborn affected by maternal use of amphetamines
P04.17Newborn affected by maternal use of sedative-hypnotics
P04.18Newborn affected by other maternal medication
P04.19Newborn affected by maternal use of unspecified medication
P04.1ANewborn affected by maternal use of anxiolytics
P04.2Newborn affected by maternal use of tobacco
P04.3Newborn affected by maternal use of alcohol
P04.40Newborn affected by maternal use of unspecified drugs of addiction
P04.41Newborn affected by maternal use of cocaine
P04.42Newborn affected by maternal use of hallucinogens
P04.49Newborn affected by maternal use of other drugs of addiction
P04.5Newborn affected by maternal use of nutritional chemical substances
P04.6Newborn affected by maternal exposure to environmental chemical substances
P04.81Newborn affected by maternal use of cannabis
P04.89Newborn affected by other maternal noxious substances
P04.9Newborn affected by maternal noxious substance, unspecified
P93.0Grey baby syndrome
P93.8Other reactions and intoxications due to drugs administered to newborn
P96.1Neonatal withdrawal symptoms from maternal use of drugs of addiction
P96.2Withdrawal symptoms from therapeutic use of drugs in newborn
R11.16Cannabis hyperemesis syndrome
T40.0X1APoisoning by opium, accidental (unintentional), initial encounter
T40.0X4APoisoning by opium, undetermined, initial encounter
T40.1X1APoisoning by heroin, accidental (unintentional), initial encounter
T40.1X4APoisoning by heroin, undetermined, initial encounter
T40.2X1APoisoning by other opioids, accidental (unintentional), initial encounter
T40.2X4APoisoning by other opioids, undetermined, initial encounter
T40.3X1APoisoning by methadone, accidental (unintentional), initial encounter
T40.3X4APoisoning by methadone, undetermined, initial encounter
T40.411APoisoning by fentanyl or fentanyl analogs, accidental (unintentional), initial encounter
T40.414APoisoning by fentanyl or fentanyl analogs, undetermined, initial encounter
T40.421APoisoning by tramadol, accidental (unintentional), initial encounter
T40.424APoisoning by tramadol, undetermined, initial encounter
T40.491APoisoning by other synthetic narcotics, accidental (unintentional), initial encounter
T40.494APoisoning by other synthetic narcotics, undetermined, initial encounter
T40.5X1APoisoning by cocaine, accidental (unintentional), initial encounter
T40.5X4APoisoning by cocaine, undetermined, initial encounter
T40.601APoisoning by unspecified narcotics, accidental (unintentional), initial encounter
T40.604APoisoning by unspecified narcotics, undetermined, initial encounter
T40.691APoisoning by other narcotics, accidental (unintentional), initial encounter
T40.694APoisoning by other narcotics, undetermined, initial encounter
T40.8X1APoisoning by lysergide [LSD], accidental (unintentional), initial encounter
T40.8X4APoisoning by lysergide [LSD], undetermined, initial encounter
T40.901APoisoning by unspecified psychodysleptics [hallucinogens], accidental (unintentional), initial encounter
T40.904APoisoning by unspecified psychodysleptics [hallucinogens], undetermined, initial encounter
T40.991APoisoning by other psychodysleptics [hallucinogens], accidental (unintentional), initial encounter
T40.994APoisoning by other psychodysleptics [hallucinogens], undetermined, initial encounter
T43.601APoisoning by unspecified psychostimulants, accidental (unintentional), initial encounter
T43.604APoisoning by unspecified psychostimulants, undetermined, initial encounter
T43.611APoisoning by caffeine, accidental (unintentional), initial encounter
T43.614APoisoning by caffeine, undetermined, initial encounter
T43.621APoisoning by amphetamines, accidental (unintentional), initial encounter
T43.624APoisoning by amphetamines, undetermined, initial encounter
T43.631APoisoning by methylphenidate, accidental (unintentional), initial encounter
T43.634APoisoning by methylphenidate, undetermined, initial encounter
T43.641APoisoning by ecstasy, accidental (unintentional), initial encounter
T43.644APoisoning by ecstasy, undetermined, initial encounter
T43.651APoisoning by methamphetamines accidental (unintentional), initial encounter
T43.654APoisoning by methamphetamines, undetermined, initial encounter
T43.691APoisoning by other psychostimulants, accidental (unintentional), initial encounter
T43.694APoisoning by other psychostimulants, undetermined, initial encounter