DSM-5 Substance Use Diagnosis ICD-10 …
[Pages:1]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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