562 Substance-Related and Addictive Disorders
Note:  This criterion is not considered to be met for those taking stimulant medica-
tions solely under appropriate medical supervision, such as medications for atten-
tion-deficit/hyperactivity disorder or narcolepsy.
Specify if:
In early remission:  After full criteria for stimulant use disorder were previously met,
none of the criteria for stimulant use disorder have been met for at least 3 months but
for less than 12 months (with the exception that Criterion A4, “Craving, or a strong de-
sire or urge to use the stimulant,” may be met).
In sustained remission:  After full criteria for stimulant use disorder were previously
met, none of the criteria for stimulant use disorder have been met at any time during a
period of 12 months or longer (with the exception that Criterion A4, “Craving, or a
strong desire or urge to use the stimulant,” may be met).
Specify if:
In a controlled environment:  This additional specifier is used if the individual is in an
environment where access to stimulants is restricted. 
Coding based on current severity:  Note for ICD-10-CM codes: If an amphetamine in-
toxication, amphetamine withdrawal, or anot her amphetamine-induced mental disorder is
also present, do not use the codes below for amphetamine use disorder. Instead, the co-
morbid amphetamine use disorder is indicat ed in the 4th character of the amphetamine-
induced disorder code (see the coding note for amphetamine intoxication, amphetamine
withdrawal, or a specific amphetamine-induced m ental disorder). For example, if there is
comorbid amphetamine-type or other stimulant-induced depressive disorder and amphet-