F19.24
BillableOther psychoactive substance dependence with psychoactive substance-induced mood 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
Addiction to various drugs or substances that causes mood problems such as depression or mania.
Coding Tips
- •Document whether the mood disorder is depressive, bipolar, or other specified type
- •Verify that the mood disorder is substance-induced rather than a primary mental health condition
Clinical Significance
This code captures substance-induced mood disorder from other psychoactive substance dependence, where depressive, manic, or mixed mood symptoms are directly caused by the substance. Substance-induced mood disorders require differentiation from primary mood disorders for appropriate treatment planning. Accurate coding ensures proper risk adjustment and reflects the dual complexity of substance use with psychiatric comorbidity.
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 mood disturbance (depression, mania, or mixed features) with explicit provider statement linking the mood disorder to the substance use
- ✓Temporal relationship establishing mood symptoms developed during or within one month of substance intoxication or withdrawal
- ✓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 documentedF30-F39 (Primary mood disorders) — primary mood disorders exist independently of substance use and require separate codingF19.280 (Substance-induced anxiety disorder) — anxiety disorder presents with worry, panic, and phobias rather than mood 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