568 Substance-Related and Addictive Disorders
For amphetamine, cocaine, or other stimulant intoxication, with perceptual distur-
bances:  If a mild amphetamine or other stimulant use disorder is comorbid, the ICD-10-
CM code is F15.122, and if a moderate or severe amphetamine or other stimulant use
disorder is comorbid, the ICD-10-CM code is F15.222.  If there is no comorbid amphet-
amine or other stimulant use disorder, then the ICD-10-CM code is F15.922. Similarly, if
a mild cocaine use disorder is comorbid, the ICD-10-CM code is F14.122,  and if a mod-
erate or severe cocaine use disorder is comorbid, the ICD-10-CM code is F14.222. If
there is no comorbid cocaine use disorder, then the ICD-10-CM code is F14.922.
Diagnostic Features
The essential feature of stimulant intoxicati on, related to amphetamine-type stimulants
and cocaine, is the presence of clinically significant behavioral or psychological changes
that develop during, or shortly after, use of stimulants (Criteria A and B). Auditory hallu-
cinations may be prominent, as may paranoid  ideation, and these symptoms must be dis-
tinguished from an independent psychotic disorder such as schizophrenia. Stimulant
intoxication usually begins with a “high” f eeling and includes one or more of the follow-
ing: euphoria with enhanced vigor, gregarious ness, hyperactivity, restlessness, hypervig-
ilance, interpersonal sensitivity, talkativenes s, anxiety, tension, alertness, grandiosity,