Mental and behavioral disorders due to psychoactive substance use (F10-F19)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

• Section I.C.5.b Mental and behavioral disorders due to psychoactive substance use (page 43), covers F10-F19

  Code only one pattern per substance: dependence outranks abuse and use, and abuse outranks use. Remission and unspecified use codes need provider documentation; code medical conditions separately with the substance code.

Other Chapter 5 topics:

• Pain disorders related to psychological factors (page 43)
• Factitious Disorder (page 44)
• Dementia (page 45)

Read Section I.C.5 (page 43)

Codes under F10-F19

F10-F19 can't be used on a claim. Pick a billable code below; grey headings group them.

• F10Alcohol related disorders
• F11Opioid related disorders
• F12Cannabis related disorders
• F13Sedative, hypnotic, or anxiolytic related disorders
• F14Cocaine related disorders
• F15Other stimulant related disorders
• F16Hallucinogen related disorders
• F17Nicotine dependence
• F18Inhalant related disorders
• F19Other psychoactive substance related disorders

F10-F19 MS-DRGs

This code does not group to an MS-DRG as a principal diagnosis.

Other codes that refer to F10-F19

Notes on these codes point to F10-F19.

• F02 Excludes2: dementia in alcohol and psychoactive substance disorders (F10-F19, with .17, .27, .97)
• F06 Excludes2: other mental disorders associated with alcohol and other psychoactive substances (F10-F19)
• F06.0 Excludes2: hallucinations and perceptual disturbance induced by alcohol and other psychoactive substances (F10-F19 with .151, .251, .951)
• F06.2 Excludes2: alcohol and drug-induced psychotic disorder (F10-F19 with .150, .250, .950)
• F06.3 Excludes2: mood disorders due to alcohol and other psychoactive substances (F10-F19 with .14, .24, .94)
• F06.4 Excludes2: anxiety disorders due to alcohol and other psychoactive substances (F10-F19 with .180, .280, .980)
• F55 Excludes2: abuse of psychoactive substances (F10-F19)
• F63 Excludes2: habitual excessive use of alcohol or psychoactive substances (F10-F19)
• F63.1 Excludes2: alcohol or psychoactive substance intoxication (F10-F19)
• R41.3 Excludes1: amnestic syndrome due to psychoactive substance use (F10-F19 with 5th character .6)
• R78 Excludes2: mental or behavioral disorders due to psychoactive substance use (F10-F19)
• T36-T50 Excludes2: abuse and dependence of psychoactive substances (F10-F19)
• T36-T50 Excludes2: pathological drug intoxication (inebriation) (F10-F19)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.