DSM-5 Substance Use Diagnosis Guide - Quick Guide - Diagnosis Severity Specifiers & Substance ICD-10 Codes

Oct 14, 2026

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DSM-5 Substance Use diagnosis quick guide organizes severity levels, specifiers, and substance-specific diagnostic labels alongside ICD-10 billable codes. It defines mild, moderate, and severe severity using DSM-5 criteria symptom counts, and includes remission timing and controlled-environment restrictions. The guide lists substances such as alcohol, opioids, cannabis, sedatives/hypnotics/anxiolytics, cocaine, and amphetamine-type substances with matching DSM-5 diagnosis labels and ICD-10 code mappings for clinical coding reference.

LanguageEnglish

CategoryGeneral

FormatPDF

Pages3

Reading Time1 min

AccessFree to download

Severity levels

Specifiers

Substance categories and ICD-10 code mappings

| DSM-5 Substance Use Diagnosis Guide | | | | | | DMC
Approved Billable Codes | | | --- | --- | --- | --- | --- | --- | --- | --- | | SEVERITY LEVELS
o Mild = Presence of 2-3 DSM-5 criteria symptoms
o Moderate = Presence of 4-5 DSM-5 criteria symptoms
o Severe = Presence of 6 or more DSM-5 criteria symptoms | | SPECIFIERS
o Early Remission = 3 months to 1 year with no presence of DSM-5 criteria symptoms
o Sustained Remission = 1 year or more with no presence of DSM-5 criteria symptoms
o In Controlled Environment = If individual is in an environment where access to substances are restricted | | | | | | | SUBSTANCE | DSM-5 DIAGNOSIS LABEL | | | | | ICD-10 CODES | | | Alcohol
Example: beer, liquor | Alcohol Use Disorder, MILD | | | | | F10.10 | | | | Alcohol Use Disorder, MODERATE or SEVERE | | | | | F10.20 | | | | Alcohol Use Disorder, Mild in early or sustained REMISSION | | | | | F10.11 | | | | Alcohol Use Disorder, Moderate or Severe in early or sustained REMISSION | | | | | F10.21 | | | | Alcohol Intoxication with Use Disorder, MILD | | | | | F10.129 | | | | Alcohol Intoxication with Use Disorder, MODERATE or SEVERE | | | | | F10.229 | | | | Alcohol Intoxication without Use Disorder | | | | | F10.929 | | | | Alcohol Withdrawal without Perceptual Disturbances | | | | | F10.239 | | | Opioid
Example: Heroin, Hydrocodone (Norco, Vicodin), Oxycodone (OxyContin, Percocet), Morphine, Hydomorphone (Dilaudid), Codeine (cough syrup), Meperidine (Demerol), Fentanyl, etc. | Opioid Use Disorder, MILD | | | | | F11.10 | | | | Opioid Use Disorder, MODERATE or SEVERE | | | | | F11.20 | | | | Opioid Use Disorder, Mild in early or sustained REMISSION | | | | | F11.11 | | | | Opioid Use Disorder, Moderate or Severe in early or sustained REMISSION | | | | | F11.21 | | | | Opioid Intoxication without Perceptual Disturbances with Use Disorder, MILD | | | | | F11.129 | | | | Opioid Intoxication without Perceptual Disturbances with Use Disorder, MODERATE or SEVERE | | | | | F11.229 | | | | Opioid Intoxication without Perceptual Disturbances without Use Disorder | | | | | F11.929 | | | | Opioid Withdrawal | | | | | F11.23 | | | | | | | | | | | | Cannabis
Example: Marijuana and marijuana-related products | Cannabis Use Disorder, MILD | | | | | F12.10 | | | | Cannabis Use Disorder, MODERATE or SEVERE | | | | | F12.20 | | | | Cannabis Use Disorder, Mild in early or sustained REMISSION | | | | | F12.11 | | | | Cannabis Use Disorder, Moderate or Severe in early or sustained REMISSION | | | | | F12.21 | | | | Cannabis Intoxication without Perceptual Disturbances with Use Disorder, MILD | | | | | F12.129 | | | | Cannabis Intoxication without Perceptual Disturbances with Use Disorder, MODERATE or SEVERE | | | | | F12.229 | | | | Cannabis Intoxication without Perceptual Disturbances without Use Disorder | | | | | F12.929 | | | Sedative, Hypnotic, or Anxiolytic
Example: Benzodiazepines (Xanax [alprazolam], Ativan [lorazepam], Valium [diazepam], Klonopin [clonazepam]); Barbiturates (Pentobarbital, Secobarbital, etc. ), Ambien [zolpidem], Lunesta
[eszopiclone], Sonata [zaleplon], Imrest [zopiclone], Z-drugs, etc. | Sedative, Hypnotic, or Anxiolytic Use Disorder, MILD | | | | | F13.10 | | | | Sedative, Hypnotic, or Anxiolytic Use Disorder, MODERATE or SEVERE | | | | | F13.20 | | | | Sedative, Hypnotic, or Anxiolytic Use Disorder, Mild in early or sustained REMISSION | | | | | F13.11 | | | | Sedative, Hypnotic, or Anxiolytic Use Disorder, Moderate or Severe in early or sustained REMISSION | | | | | F13.21 | | | | Sedative, Hypnotic, or Anxiolytic Intoxication with Use Disorder, MILD | | | | | F13.129 | | | | Sedative, Hypnotic, or Anxiolytic Intoxication with Use Disorder, MODERATE or SEVERE | | | | | F13.229 | | | | Sedative, Hypnotic

FAQs

How does the guide define mild, moderate, and severe severity levels?

Mild corresponds to the presence of 2–3 DSM-5 criteria symptoms, moderate to 4–5, and severe to 6 or more DSM-5 criteria symptoms.

What remission specifiers does the guide provide?

Early remission is 3 months to 1 year without DSM-5 criteria symptoms, while sustained remission is 1 year or more without DSM-5 criteria symptoms.

Does the guide include ICD-10 codes for different substances and DSM-5 diagnosis labels?

Yes. For each substance category (e.g., alcohol, opioids, cannabis, cocaine), it lists the DSM-5 diagnosis label and the corresponding ICD-10 billable code.

Oct 14, 2026

Upload by Rowan