F19.182
BillableOther psychoactive substance abuse with psychoactive substance-induced sleep 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 person who abuses various psychoactive substances and experiences sleep problems directly caused by the substance use.
Coding Tips
- •Document the specific substance(s) involved when possible to support medical necessity
- •Ensure sleep disorder is documented as substance-induced rather than a separate primary condition
Clinical Significance
This code identifies substance-induced sleep disorder from other psychoactive substance abuse, reflecting disruption to normal sleep architecture caused by the substance. Sleep disorders compound the health impact of substance use by impairing cognitive function, mood regulation, and physical recovery. Capturing this complication accurately reflects the additional clinical complexity these patients present.
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 sleep disturbance (insomnia, hypersomnia, parasomnia) with provider statement linking it to the 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 documentedG47.x (Sleep disorders) — for primary sleep disorders not caused by substance useF51.x (Sleep disorders not due to a substance or known physiological condition) — for non-substance-related sleep disturbancesF10-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└F19.182Other psychoactive substance abuse with psychoactive substance-induced sleep disorder
└F19.182Other psychoactive substance abuse with psychoactive substance-induced sleep disorder