ICD-10 Code F19: Other psychoactive substance related disorders

ICD-10-CM Codes > F10-F19 > F19

Other psychoactive substance related disorders

2025 ICD-10-CM DIAGNOSIS CODE F19

Code Attributes

Non-Billable/Non-Specific Code

Includes

Polysubstance drug use (indiscriminate drug use)

Codes

F19.1 Other psychoactive substance abuse
F19.10 Other psychoactive substance abuse, uncomplicated
F19.11 Other psychoactive substance abuse, in remission
F19.12 Other psychoactive substance abuse with intoxication
F19.120 Other psychoactive substance abuse with intoxication, uncomplicated
F19.121 Other psychoactive substance abuse with intoxication delirium
F19.122 Other psychoactive substance abuse with intoxication with perceptual disturbances
F19.129 Other psychoactive substance abuse with intoxication, unspecified
F19.13 Other psychoactive substance abuse with withdrawal
F19.130 Other psychoactive substance abuse with withdrawal, uncomplicated
F19.131 Other psychoactive substance abuse with withdrawal delirium
F19.132 Other psychoactive substance abuse with withdrawal with perceptual disturbance
F19.139 Other psychoactive substance abuse with withdrawal, unspecified
F19.14 Other psychoactive substance abuse with psychoactive substance-induced mood disorder
F19.15 Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder
F19.150 Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with delusions
F19.151 Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with hallucinations
F19.159 Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder, unspecified
F19.16 Other psychoactive substance abuse with psychoactive substance-induced persisting amnestic disorder
F19.17 Other psychoactive substance abuse with psychoactive substance-induced persisting dementia
F19.18 Other psychoactive substance abuse with other psychoactive substance-induced disorders
F19.180 Other psychoactive substance abuse with psychoactive substance-induced anxiety disorder
F19.181 Other psychoactive substance abuse with psychoactive substance-induced sexual dysfunction
F19.182 Other psychoactive substance abuse with psychoactive substance-induced sleep disorder
F19.188 Other psychoactive substance abuse with other psychoactive substance-induced disorder
F19.19 Other psychoactive substance abuse with unspecified psychoactive substance-induced disorder
F19.2 Other psychoactive substance dependence
F19.20 Other psychoactive substance dependence, uncomplicated
F19.21 Other psychoactive substance dependence, in remission
F19.22 Other psychoactive substance dependence with intoxication
F19.220 Other psychoactive substance dependence with intoxication, uncomplicated
F19.221 Other psychoactive substance dependence with intoxication delirium
F19.222 Other psychoactive substance dependence with intoxication with perceptual disturbance
F19.229 Other psychoactive substance dependence with intoxication, unspecified
F19.23 Other psychoactive substance dependence with withdrawal
F19.230 Other psychoactive substance dependence with withdrawal, uncomplicated
F19.231 Other psychoactive substance dependence with withdrawal delirium
F19.232 Other psychoactive substance dependence with withdrawal with perceptual disturbance
F19.239 Other psychoactive substance dependence with withdrawal, unspecified
F19.24 Other psychoactive substance dependence with psychoactive substance-induced mood disorder
F19.25 Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder
F19.250 Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with delusions
F19.251 Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with hallucinations
F19.259 Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder, unspecified
F19.26 Other psychoactive substance dependence with psychoactive substance-induced persisting amnestic disorder
F19.27 Other psychoactive substance dependence with psychoactive substance-induced persisting dementia
F19.28 Other psychoactive substance dependence with other psychoactive substance-induced disorders
F19.280 Other psychoactive substance dependence with psychoactive substance-induced anxiety disorder
F19.281 Other psychoactive substance dependence with psychoactive substance-induced sexual dysfunction
F19.282 Other psychoactive substance dependence with psychoactive substance-induced sleep disorder
F19.288 Other psychoactive substance dependence with other psychoactive substance-induced disorder
F19.29 Other psychoactive substance dependence with unspecified psychoactive substance-induced disorder
F19.9 Other psychoactive substance use, unspecified
F19.90 Other psychoactive substance use, unspecified, uncomplicated
F19.91 Other psychoactive substance use, unspecified, in remission
F19.92 Other psychoactive substance use, unspecified with intoxication
F19.920 Other psychoactive substance use, unspecified with intoxication, uncomplicated
F19.921 Other psychoactive substance use, unspecified with intoxication with delirium
F19.922 Other psychoactive substance use, unspecified with intoxication with perceptual disturbance
F19.929 Other psychoactive substance use, unspecified with intoxication, unspecified
F19.93 Other psychoactive substance use, unspecified with withdrawal
F19.930 Other psychoactive substance use, unspecified with withdrawal, uncomplicated
F19.931 Other psychoactive substance use, unspecified with withdrawal delirium
F19.932 Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance
F19.939 Other psychoactive substance use, unspecified with withdrawal, unspecified
F19.94 Other psychoactive substance use, unspecified with psychoactive substance-induced mood disorder
F19.95 Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder
F19.950 Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with delusions
F19.951 Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with hallucinations
F19.959 Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder, unspecified
F19.96 Other psychoactive substance use, unspecified with psychoactive substance-induced persisting amnestic disorder
F19.97 Other psychoactive substance use, unspecified with psychoactive substance-induced persisting dementia
F19.98 Other psychoactive substance use, unspecified with other psychoactive substance-induced disorders

ICD-10 Code F19 is categorized under "mental and behavioral disorders due to psychoactive substance use" and specifically refers to "other psychoactive substance use, unspecified." This code is part of a broader category that addresses disorders related to the use of psychoactive substances, including but not limited to alcohol, opioids, cannabis, sedatives, cocaine, and other stimulants in combination with each other.

The designation of "unspecified" means that the documentation does not specify the type of psychoactive substance causing the disorder. This could be used in situations where a detailed assessment has not been completed, or the specific substance is unknown but its use is evident from the patient's behavior or self-report. It's important to note that more specific codes should be used if the substance being used is known, as this can impact treatment approaches and insurance coverage.

1. Documenting use

When documenting the use of F19, ensure that the patient's record clearly reflects the reasons for choosing an unspecified code, including any efforts made to determine the specific substance involved. This may be important for insurance audits or when transferring care.

2. Billing and insurance claims

When using F19 for billing purposes, it's crucial to check with the patient's insurance provider regarding coverage for treatment related to unspecified psychoactive substance use. Some insurers may require more specific diagnoses for reimbursement or may cover treatments under certain conditions.

3. Ethical considerations

Given the potential implications of a diagnosis related to substance use, it's important to approach documentation and billing with sensitivity and adherence to confidentiality regulations. Providers should ensure that their diagnostic assessments prioritize patient welfare while balancing accurate medical recordkeeping, as stigmatization can impact both treatment outcomes and the patient's willingness to seek future care.

4. Follow-up and reassessment

For patients diagnosed with F19, regular reassessment is important to identify any changes in their condition, including the identification of specific substances being used. This can lead to more targeted treatment approaches and may necessitate updating the diagnosis code in their record and subsequent billing codes.

5. Coordination with insurance companies

Establish a clear line of communication with insurance companies regarding the use of unspecified codes like F19. Some insurers may require additional documentation or justification for the use of such codes.

Sources

"ICD-10 Code for Other psychoactive substance related disorders- F19- Codify by AAPC". Codify By AAPC. American Academy of Professional Coders, n.d., https://www.aapc.com/codes/icd-10-codes/F19?srsltid=AfmBOorSaHafzBY4EjSx8zy0QhKnZvMpb2EafMyKTwG8hxPnLRC7ww2C. Accessed 27 Jan 2025.

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