F19.27
BillableOther psychoactive substance dependence with psychoactive substance-induced persisting dementia
HCC Category Mapping
V28HCC 135 — Drug/Alcohol Psychosis
0.000V24HCC 54 — Drug/Alcohol Psychosis
0.434ESRDHCC 54 — Drug/Alcohol Psychosis
0.000What This Code Means
Long-term addiction to various drugs or substances that causes permanent brain damage resulting in memory loss and cognitive decline.
Coding Tips
- •Document the severity and specific cognitive deficits observed
- •Ensure the dementia is documented as persisting, indicating it continues even after substance use cessation
Clinical Significance
This code identifies persisting dementia caused by other psychoactive substance exposure, representing irreversible neurotoxic brain damage. Substance-induced persisting dementia indicates permanent cognitive decline requiring long-term supportive care, cognitive rehabilitation, and ongoing supervision. Accurate documentation is essential for risk adjustment as these patients have substantially elevated care needs comparable to other dementia etiologies.
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
- ✓Cognitive assessment documenting persistent deficits in memory, executive function, or other cognitive domains
- ✓Provider documentation that the dementia is caused by substance use and persists beyond the period of acute 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 documentedF19.26 (Substance-induced persisting amnestic disorder) — amnestic disorder involves primarily memory impairment without the broader cognitive decline of dementiaF01-F03 (Vascular or unspecified dementia) — for primary dementia not caused by substance useF10-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└F19.27Other psychoactive substance dependence with psychoactive substance-induced persisting dementia
└F19.27Other psychoactive substance dependence with psychoactive substance-induced persisting dementia