176 Depressive Disorders
CM code depends on whether or not there is a comorbid substance use disorder present for
the same class of substance. If a mild substance use disorder is comorbid with the substance-
induced depressive disorder, the 4th position character is “1,” and the clinician should record
“mild [substance] use disorder” before the substance-induced depressive disorder (e.g.,
“mild cocaine use di sorder with cocain e-induced depressive disorder”). If a moderate or se-
vere substance use disorder is comorbid with the substance-induced depressive disorder,
the 4th position character is “2,” and the clinician should record “moderate [substance] use
disorder” or “severe [substance] use disorder,” depending on the severity of the comorbid
substance use disorder. If there is no comorbid substance use disorder (e.g., after a one-
time heavy use of the substance), then the 4th position character is “9,” and the clinician should
record only the substance-induced depressive disorder.
Specify if (see Table 1 in the chapter “Substance-Related and Addictive Disorders” for di-
agnoses associated with substance class):
With onset during intoxication:  If criteria are met for intoxication with the substance
and the symptoms develop during intoxication.
With onset during withdrawal:  If criteria are met for withdrawal from the substance
and the symptoms develop during, or shortly after, withdrawal.
Recording Procedures
ICD-9-CM. The name of the substance/medication -induced depressive disorder begins
with the specific substance (e.g., cocaine, de xamethasone) that is presumed to be causing
the depressive symptoms. The diagnostic code is selected from the table included in the