ICD-10 F15.120
Billable / Specific HCC v28: 55Other stimulant abuse with intoxication, uncomplicated
About ICD-10-CM F15.120
ICD-10-CM code F15.120 represents Other stimulant abuse with intoxication, uncomplicated. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F15). The 2026 edition of ICD-10-CM F15.120 became effective on October 1, 2025.
Coding Tips for F15.120
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
F15.120 is a CMS-HCC v28 risk-adjustment code (category 55). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for F15.120
Local Coverage Determinations (LCDs) from CMS MACs that list F15.120 as a covered diagnosis.
Showing top 10 of 265 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing F15.120.
1 Cigna
5 Medicare
1 Aetna
CPT Codes Commonly Billed with F15.120
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert F15.120 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| F15.120 | 30570 | 10000 |
| F15.120 | 30571 | 10000 |
| F15.120 | 30572 | 10000 |
| F15.120 | 30573 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To F15.120
Other codes in section F10-F19 (Mental and behavioral disorders due to psychoactive substance use).
ICD-10 F15.120, Billing FAQ
Is ICD-10 code F15.120 billable? +
Yes, F15.120 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Does F15.120 affect Medicare Advantage HCC risk adjustment? +
Yes. F15.120 maps to CMS-HCC v28 category 55. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What ICD-9 codes does F15.120 map to? +
Per CMS GEMs, F15.120 maps to ICD-9 codes: 30570, 30571, 30572, 30573. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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