Abuse of non-psychoactive substances
In Behavioral syndromes associated with physiological disturbances and physical factors (F50-F59), chapter 5: Mental, Behavioral and Neurodevelopmental Disorders
6 billable codes under F55: none are a CC or MCC; none map to an HCC.
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Instructional notes
Excludes2: not included here, code separately if applicable
- abuse of psychoactive substances (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.
Covers psychological pain disorders, substance use, abuse, dependence and remission, factitious disorder including Munchausen by proxy, and dementia severity.
- Pain disorders related to psychological factors (page 43)
- Mental and behavioral disorders due to psychoactive substance use (page 43)
- Factitious Disorder (page 44)
- Dementia (page 45)
All codes under F55
F55 can't be used on a claim. Pick a billable code below; grey headings group them.
F55 MS-DRGs
As the principal diagnosis, all 6 billable codes under F55 group to MS-DRG 894, 895, 896, or 897 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
Other codes that refer to F55
Notes on these codes point to F55.
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.