Other psychoactive substance related disorders
In Mental and behavioral disorders due to psychoactive substance use (F10-F19), chapter 5: Mental, Behavioral and Neurodevelopmental Disorders
63 billable codes under F19: 32 are a CC; 61 map to HCC 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), HCC 135 (Drug Use with Psychotic Complications), HCC 138 (Drug Use Disorder, Mild, Uncomplicated, Except Cannabis).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Includes: conditions that are coded here
- polysubstance drug use (indiscriminate drug use)
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 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)
All codes under F19
F19 can't be used on a claim. Pick a billable code below; grey headings group them.
- F19.1Other psychoactive substance abuse
- F19.10Other psychoactive substance abuse, uncomplicated
- F19.11Other psychoactive substance abuse, in remission
- F19.12Other psychoactive substance abuse with intoxication
- F19.120Other psychoactive substance abuse with intoxication, uncomplicated
- F19.121Other psychoactive substance abuse with intoxication delirium
- F19.122Other psychoactive substance abuse with intoxication with perceptual disturbances
- F19.129Other psychoactive substance abuse with intoxication, unspecified
- F19.13Other psychoactive substance abuse with withdrawal
- F19.130Other psychoactive substance abuse with withdrawal, uncomplicated
- F19.131Other psychoactive substance abuse with withdrawal delirium
- F19.132Other psychoactive substance abuse with withdrawal with perceptual disturbance
- F19.139Other psychoactive substance abuse with withdrawal, unspecified
- F19.14Other psychoactive substance abuse with psychoactive substance-induced mood disorder
- F19.15Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder
- F19.150Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with delusions
- F19.151Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with hallucinations
- F19.159Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder, unspecified
- F19.16Other psychoactive substance abuse with psychoactive substance-induced persisting amnestic disorder
- F19.17Other psychoactive substance abuse with psychoactive substance-induced persisting dementia
- F19.18Other psychoactive substance abuse with other psychoactive substance-induced disorders
- F19.180Other psychoactive substance abuse with psychoactive substance-induced anxiety disorder
- F19.181Other psychoactive substance abuse with psychoactive substance-induced sexual dysfunction
- F19.182Other psychoactive substance abuse with psychoactive substance-induced sleep disorder
- F19.188Other psychoactive substance abuse with other psychoactive substance-induced disorder
- F19.19Other psychoactive substance abuse with unspecified psychoactive substance-induced disorder
- F19.2Other psychoactive substance dependence
- F19.20Other psychoactive substance dependence, uncomplicated
- F19.21Other psychoactive substance dependence, in remission
- F19.22Other psychoactive substance dependence with intoxication
- F19.220Other psychoactive substance dependence with intoxication, uncomplicated
- F19.221Other psychoactive substance dependence with intoxication delirium
- F19.222Other psychoactive substance dependence with intoxication with perceptual disturbance
- F19.229Other psychoactive substance dependence with intoxication, unspecified
- F19.23Other psychoactive substance dependence with withdrawal
- F19.230Other psychoactive substance dependence with withdrawal, uncomplicated
- F19.231Other psychoactive substance dependence with withdrawal delirium
- F19.232Other psychoactive substance dependence with withdrawal with perceptual disturbance
- F19.239Other psychoactive substance dependence with withdrawal, unspecified
- F19.24Other psychoactive substance dependence with psychoactive substance-induced mood disorder
- F19.25Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder
- F19.250Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with delusions
- F19.251Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with hallucinations
- F19.259Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder, unspecified
- F19.26Other psychoactive substance dependence with psychoactive substance-induced persisting amnestic disorder
- F19.27Other psychoactive substance dependence with psychoactive substance-induced persisting dementia
- F19.28Other psychoactive substance dependence with other psychoactive substance-induced disorders
- F19.280Other psychoactive substance dependence with psychoactive substance-induced anxiety disorder
- F19.281Other psychoactive substance dependence with psychoactive substance-induced sexual dysfunction
- F19.282Other psychoactive substance dependence with psychoactive substance-induced sleep disorder
- F19.288Other psychoactive substance dependence with other psychoactive substance-induced disorder
- F19.29Other psychoactive substance dependence with unspecified psychoactive substance-induced disorder
- F19.9Other psychoactive substance use, unspecified
- F19.90Other psychoactive substance use, unspecified, uncomplicated
- F19.91Other psychoactive substance use, unspecified, in remission
- F19.92Other psychoactive substance use, unspecified with intoxication
- F19.920Other psychoactive substance use, unspecified with intoxication, uncomplicated
- F19.921Other psychoactive substance use, unspecified with intoxication with delirium
- F19.922Other psychoactive substance use, unspecified with intoxication with perceptual disturbance
- F19.929Other psychoactive substance use, unspecified with intoxication, unspecified
- F19.93Other psychoactive substance use, unspecified with withdrawal
- F19.930Other psychoactive substance use, unspecified with withdrawal, uncomplicated
- F19.931Other psychoactive substance use, unspecified with withdrawal delirium
- F19.932Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance
- F19.939Other psychoactive substance use, unspecified with withdrawal, unspecified
- F19.94Other psychoactive substance use, unspecified with psychoactive substance-induced mood disorder
- F19.95Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder
- F19.950Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with delusions
- F19.951Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with hallucinations
- F19.959Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder, unspecified
- F19.96Other psychoactive substance use, unspecified with psychoactive substance-induced persisting amnestic disorder
- F19.97Other psychoactive substance use, unspecified with psychoactive substance-induced persisting dementia
- F19.98Other psychoactive substance use, unspecified with other psychoactive substance-induced disorders
- F19.980Other psychoactive substance use, unspecified with psychoactive substance-induced anxiety disorder
- F19.981Other psychoactive substance use, unspecified with psychoactive substance-induced sexual dysfunction
- F19.982Other psychoactive substance use, unspecified with psychoactive substance-induced sleep disorder
- F19.988Other psychoactive substance use, unspecified with other psychoactive substance-induced disorder
- F19.99Other psychoactive substance use, unspecified with unspecified psychoactive substance-induced disorder
F19 MS-DRGs
As the principal diagnosis, the billable codes under F19 group to MS-DRG 894, 895, 896, 897, 791, or 793 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 894 Alcohol, Drug Abuse or Dependence, Left AMA (63 of 63 codes)
- DRG 895 Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy (63 of 63 codes)
- DRG 896 Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC (63 of 63 codes)
- DRG 897 Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC (63 of 63 codes)
- DRG 791 Prematurity with Major Problems (12 of 63 codes)
- DRG 793 Full Term Neonate with Major Problems (12 of 63 codes)
Other codes that refer to F19
Notes on these codes point to 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)
- F20 Excludes2: psychoactive drug use (F11-F19 with .15. .25, .95)
- F44.0 Excludes2: alcohol-or other psychoactive substance-induced amnestic disorder (F10, F13, F19 with .26, .96)
- 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)
- O99.32 Use Additional Code: code(s) from F11-F16 and F18-F19 to identify manifestations of the drug use
- R41.3 Excludes1: amnestic syndrome due to psychoactive substance use (F10-F19 with 5th character .6)
- R44 Excludes1: hallucinations in drug psychosis (F11-F19 with fifth to sixth characters 51)
- 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)
- T40 Excludes2: drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.-F19.-)
- T42 Excludes2: drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.--F19.-)
- T43 Excludes2: drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.- -F19.-)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Drug Use and Addiction
Drugs are chemical substances that can change how your body and mind work. They include prescription medicines, over-the-counter medicines, alcohol, tobacco, and illegal drugs.
Read more about drug use and addiction on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
