F19.220
BillableOther psychoactive substance dependence with intoxication, uncomplicated
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 is dependent on psychoactive substances and is currently intoxicated without severe complications.
Coding Tips
- •Document the substance(s) causing intoxication and the severity level
- •Differentiate from complicated intoxication (delirium or perceptual disturbances)
Clinical Significance
This code identifies uncomplicated other psychoactive substance intoxication with dependence, indicating acute substance effects without severe neuropsychiatric complications. While representing a less severe presentation than intoxication with delirium or perceptual disturbances, it still reflects active substance use requiring clinical evaluation. Accurate capture supports risk adjustment for 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 dependence criteria: tolerance, withdrawal symptoms, compulsive use despite harm, or inability to control use
- ✓Documentation of acute intoxication state with signs and symptoms present at the time of encounter
- ✓Assessment and plan addressing the substance use disorder with treatment approach documented
Commonly Confused Codes
F19.10-F19.19 (Other psychoactive substance abuse) — abuse indicates a less severe use pattern without meeting dependence criteriaF19.90-F19.99 (Other psychoactive substance use, unspecified) — unspecified use is used when the severity of the use disorder is not documentedF19.221 (Intoxication delirium) — requires documented delirium symptoms beyond simple intoxicationF19.222 (Intoxication with perceptual disturbance) — requires documented hallucinations or sensory distortionsF10-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└F19.2Other psychoactive substance dependence└F19.22Other psychoactive substance dependence with intoxication└F19.220Other psychoactive substance dependence with intoxication, uncomplicated
└F19.220Other psychoactive substance dependence with intoxication, uncomplicated