F19.181
BillableOther psychoactive substance abuse with psychoactive substance-induced sexual dysfunction
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 multiple drugs and experiences sexual dysfunction (such as erectile dysfunction, decreased libido, or difficulty with orgasm) caused by the substance use.
Coding Tips
- •Document the specific type of sexual dysfunction when available
- •Note whether the dysfunction is expected to resolve with substance cessation or may be persistent
Clinical Significance
This code captures substance-induced sexual dysfunction from other psychoactive substance abuse, a quality-of-life complication that may affect treatment adherence and recovery. Sexual dysfunction related to substance use reflects the systemic effects of the substance on neurological and hormonal function. Accurate documentation supports comprehensive care planning and appropriate risk adjustment.
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 the specific type of sexual dysfunction (erectile dysfunction, decreased libido, anorgasmia) and its temporal relationship to substance use
- ✓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 documentedN52.x (Male erectile dysfunction) — use for erectile dysfunction not caused by substance useF52.x (Sexual dysfunction not due to a substance or known physiological condition) — for primary sexual dysfunction unrelated to substancesF10-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└F19.18Other psychoactive substance abuse with other psychoactive substance-induced disorders└F19.181Other psychoactive substance abuse with psychoactive substance-induced sexual dysfunction
└F19.181Other psychoactive substance abuse with psychoactive substance-induced sexual dysfunction