F19.10
BillableOther psychoactive substance abuse, uncomplicated
HCC Category Mapping
V28HCC 138 — Drug Use Disorder/Substance Use Disorder, Mild
0.476V24HCC 56 — Drug/Alcohol Abuse, Without Dependence
0.000ESRDHCC 56 — Drug/Alcohol Abuse, Without Dependence
0.000What This Code Means
A person who abuses various psychoactive substances (drugs other than alcohol, tobacco, cannabis, cocaine, or hallucinogens) without current complications.
Coding Tips
- •This code applies to abuse (not dependence) of multiple or unspecified psychoactive substances
- •Verify that the patient meets criteria for abuse rather than dependence
Clinical Significance
This code identifies uncomplicated other psychoactive substance abuse without current complications, intoxication, or withdrawal. While representing the baseline severity of the substance use disorder, it captures an ongoing condition requiring monitoring, counseling, and treatment planning. Accurate documentation supports risk adjustment for the elevated healthcare needs associated with active substance use disorders.
Documentation Requirements
- ✓Provider documentation specifying the psychoactive substance(s) involved (e.g., designer drugs, bath salts, kratom, polysubstance use)
- ✓Clinical documentation supporting substance abuse pattern (maladaptive use pattern causing clinically significant impairment) without meeting criteria for dependence
- ✓Assessment and plan addressing the substance use disorder with treatment approach documented
Commonly Confused Codes
F19.20-F19.29 (Other psychoactive substance dependence) — dependence indicates a more severe pattern with tolerance, compulsive use, or withdrawal; abuse is a less severe use patternF19.90-F19.99 (Other psychoactive substance use, unspecified) — unspecified use is used when abuse vs. dependence is not documentedF19.11 (In remission) — remission indicates the patient has stopped using; uncomplicated indicates active use without current complicationsF10-F16 (Specific substance codes: alcohol, opioids, cannabis, sedatives, cocaine, stimulants) — use substance-specific codes when the substance is identified; F19 is for 'other' or multiple unspecified substances
Code Hierarchy
└F19Other psychoactive substance related disorders└F19.1Other psychoactive substance abuse└F19.10Other psychoactive substance abuse, uncomplicated
└F19.10Other psychoactive substance abuse, uncomplicated