DSM-5

Substance Use Diagnosis ICD-10

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

Severity Levels *For

- Mild = Presence of 2-3 DSM criteria symptoms billing
- Moderate = Presence of 4-5 DSM criteria symptoms purposes
- Severe = Presence of 6 or more DSM criteria symptoms
MILD Heroin, Hydrocodone (Norco, Vicodin), F11.10
MODERATE Oxycodone (OxyContin, Percocet), F11.20
Opioid Use Disorder Morphine, Hydomorphone (Dilaudid),
SEVERE Codeine (cough syrup), Meperidine F11.20
(Demerol), Fentanyl, etc.

MILD F10.10
Alcohol Use Disorder MODERATE Beer, liquor, etc. F10.20
SEVERE F10.20

MILD F12.10
Marijuana and marijuana-related
Cannabis Use Disorder MODERATE F12.20
products
SEVERE F12.20

MILD F15.10
Stimulant Use Disorder- Methamphetamine (crystal meth, crank,
MODERATE F15.20
Amphetamine-Type Substance speed, tweek, glass, etc.)
SEVERE F15.20

MILD F14.10
Stimulant Use Disorder-
MODERATE Cocaine (coke, blow, snow, etc.) F14.20
Cocaine
SEVERE F14.20

MILD Benzodiazepines (Xanax [alprazolam], F13.10

MODERATE Ativan [lorazepam], Valium [diazepam], F13.20
Klonopin [clonazepam])
Sedative, Hypnotic, or Barbiturates (Pentobarbital, Secobarbital,
Anxiolytic Use Disorder etc.)
SEVERE Z-drugs (Ambien [zolpidem], Lunesta F13.20
[eszopiclone], Sonata [zaleplon], Imrest
[zopiclone], etc.)

MILD LSD (acid), Ecstasy (MDMA), Ketamine, F16.10

Other Hallucinogen Use
MODERATE magic mushrooms (Psilocybin), Peyote F16.20
Disorder (Mescaline), etc.
SEVERE F16.20

MILD Ritalin (methylphenidate), Adderrall F15.10

Stimulant Use Disorder- Other
MODERATE (dextroamphetamine/ amphetamine), F15.20
or Unspecified Stimulant Vyvanse (lisdexamfetamine), etc.
SEVERE F15.20

MILD F16.10
Phencyclidine (PCP) Use
MODERATE PCP (phencyclidine) F16.20
Disorder
SEVERE F16.20

MILD F18.10
Inhalant Use Disorder MODERATE Glues, spray cans, etc. F18.20
SEVERE F18.20