codes for substance-induced disorders indicate both the presence (or absence) and severity
of the substance use disorder, ICD-10-CM co des for substance use disorders can be used
only in the absence of a substance-induced di sorder. See the individu al substance-specific
sections for additional coding information.
Note that the word addiction  is not applied as a diagnostic term in this classification,
although it is in common usage in many countr ies to describe severe problems related to
compulsive and habitual use of substances. The more neutral term substance use disorder  is
used to describe the wide range of the disorder , from a mild form to a severe state of chron-
ically relapsing, compulsive drug taking. So me clinicians will choose to use the word ad-
diction  to describe more extreme presentations, but the word is omitted from the official
DSM-5 substance use disorder diagnostic term inology because of its uncertain definition
and its potentially negative connotation. 
Substance-Induced Disorders
The overall category of subs tance-induced disorders includ es intoxication, withdrawal,
and other substance/medication-induced ment al disorders (e.g., substance-induced psy-
chotic disorder, substance-in duced depressive disorder).
Substance Intoxication and Withdrawal
Criteria for substance intoxica tion are included within the substance-specific sections of
this chapter. The essential fe ature is the development of a reversible substance-specific
syndrome due to the recent ingestion of a subs tance (Criterion A). The clinically significant
problematic behavioral or psychological changes associated with intoxication (e.g., bellig-
erence, mood lability, impaired judgment) are attributable to the phy siological effects of
the substance on the central nervous system and develop during or shortly after use of the
substance (Criterion B). The symptoms are not attributable to another medical condition