F19.188
BillableOther psychoactive substance abuse with other psychoactive substance-induced 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 multiple types of psychoactive substances and has other mental or physical health problems caused by the substance use.
Coding Tips
- •Specify the type of induced disorder (mood, anxiety, psychotic, etc.) in clinical documentation
- •Link the disorder directly to the substance abuse in the medical record
Clinical Significance
This code captures other specified substance-induced disorders from other psychoactive substance abuse that do not fit into the standard categories of psychosis, mood, anxiety, or sleep disorders. These may include movement disorders, neurocognitive changes, or other organ-specific complications. Accurate coding of these additional complications reflects the true clinical burden and supports 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
- ✓Description of the specific substance-induced disorder that does not fit standard categories (e.g., movement disorder, olfactory disorder, obsessive-compulsive features)
- ✓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 documentedF10-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└F19.188Other psychoactive substance abuse with other psychoactive substance-induced disorder
└F19.188Other psychoactive substance abuse with other psychoactive substance-induced disorder