Substance Use Disorders 485
Recording Procedures for Substance Use Disorders
The clinician should use the code that applies to the class of substances but record the
name of the specific substance.  For example, the clinician should record 304.10 (F13.20)
moderate alprazolam use disorder  (rather than moderate seda tive, hypnotic, or anxiolytic
use disorder) or 305.70 (F15.10) mild methamphetamine use disorder (rather than mild
stimulant use disorder). For substances that do not fit into any of the classes (e.g., anabolic
steroids), the appropriate code for “other su bstance use disorder” should be used and the
specific substance indicated (e.g., 305.90 [F19.10] mild anabolic steroid use disorder). If the
substance taken by the individual is unknown, the code for the class “other (or unknown)”
should be used (e.g., 304.90 [F 19.20] severe unknown substance use disorder). If criteria
are met for more than one substance use diso rder, all should be diagnosed (e.g., 304.00
[F11.20] severe heroin use disorder; 304.20 [F14.20] moderate cocaine use disorder).
The appropriate ICD-10-CM code for a subs tance use disorder depends on whether
there is a comorbid substance-induced disorder  (including intoxication and withdrawal). In
the above example, the diagnostic code for moderate alprazolam use disorder, F13.20, re-
flects the absence of a comorbid alprazolam -induced mental disorder. Because ICD-10-CM
codes for substance-induced disorders indicate both the presence (or absence) and severity