F19.14
BillableOther psychoactive substance abuse with psychoactive substance-induced mood disorder
HCC Category Mapping
V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358V24HCC 55 — Drug/Alcohol Dependence
0.334ESRDHCC 55 — Drug/Alcohol Dependence
0.000What This Code Means
A condition where someone abuses various drugs and develops depression, mania, or other mood disorders as a direct result of the substance use.
Coding Tips
- •Specify the type of mood disorder (depressive, manic, mixed) when documented
- •Ensure the mood disorder is substance-induced rather than a pre-existing independent condition
Clinical Significance
This code captures substance-induced mood disorder from other psychoactive substance abuse, where depressive, manic, or mixed mood symptoms are directly caused by the substance. Substance-induced mood disorders require differentiation from primary mood disorders for appropriate treatment planning. Accurate coding ensures proper risk adjustment and reflects the dual complexity of substance use with psychiatric comorbidity.
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
- ✓Documentation of mood disturbance (depression, mania, or mixed features) with explicit provider statement linking the mood disorder to the substance use
- ✓Temporal relationship establishing mood symptoms developed during or within one month of substance intoxication or withdrawal
- ✓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 documentedF30-F39 (Primary mood disorders) — primary mood disorders exist independently of substance use and require separate codingF19.180 (Substance-induced anxiety disorder) — anxiety disorder presents with worry, panic, and phobias rather than mood disturbanceF10-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