F19.222
BillableOther psychoactive substance dependence with intoxication with perceptual disturbance
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 with hallucinations or other sensory disturbances.
Coding Tips
- •Specify the type of perceptual disturbance (visual, auditory, tactile hallucinations)
- •Document whether the patient has insight into the unreality of perceptions
Clinical Significance
This code identifies intoxication with perceptual disturbances from other psychoactive substance dependence, indicating hallucinations or sensory distortions while under the influence. This represents a more severe intoxication state that may require medical monitoring and psychiatric evaluation. Accurate coding reflects increased encounter complexity and supports risk adjustment.
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
- ✓Documentation of specific perceptual disturbances (visual, auditory, or tactile hallucinations) occurring during intoxication with intact reality testing
- ✓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) — delirium involves global cognitive disruption with fluctuating consciousness, not just perceptual changesF19.220 (Intoxication, uncomplicated) — uncomplicated intoxication lacks the hallucinations or sensory distortions seen in perceptual 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
Code Hierarchy
└F19Other psychoactive substance related disorders└F19.2Other psychoactive substance dependence└F19.22Other psychoactive substance dependence with intoxication└F19.222Other psychoactive substance dependence with intoxication with perceptual disturbance
└F19.222Other psychoactive substance dependence with intoxication with perceptual disturbance