By Amanda Piern, CRC
Risk Adjustment Coder
ICD-10-CM significantly expanded the codes available for substance use disorders (SUDs). To properly code for these disorders, the diagnosis documentation should include the type of use disorder.
The ICD-10 index includes the following use disorders:
• Alcohol use
• Amphetamine-type substance use
• Cannabis use
• Cocaine use
• Hallucinogen use
• Inhalant use
• Opioid use
• Phencyclidine use
• Sedative
• Hypnotic
• Anxiolytic use
• Stimulant use (other) (unknown)
• Substance use (other) (unknown)
In each case, the provider must document the severity of…