F19.280
BillableOther psychoactive substance dependence with psychoactive substance-induced anxiety 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 excessive worry, fear, or panic.
Coding Tips
- •Document the specific anxiety symptoms and their relationship to substance use
- •Differentiate between substance-induced anxiety and primary anxiety disorders in the clinical documentation
Clinical Significance
Other psychoactive substance dependence with substance-induced anxiety disorder represents a dual diagnosis where the patient's anxiety is directly caused by their substance dependence. This is critical for risk adjustment because it captures both the severity of the addiction and the psychiatric comorbidity, reflecting higher resource utilization for integrated behavioral health treatment. Accurate capture ensures appropriate reimbursement for the complex care these patients require.
Documentation Requirements
- ✓Identification of the specific psychoactive substance(s) involved in the dependence
- ✓Documentation of dependence criteria met (tolerance, withdrawal, compulsive use, failed attempts to quit)
- ✓Description of anxiety symptoms (generalized anxiety, panic attacks, phobias) and their temporal relationship to substance use
- ✓Clinical determination that the anxiety disorder is substance-induced rather than a primary anxiety disorder
- ✓Current treatment plan addressing both the dependence and the anxiety disorder
- ✓Assessment of severity and functional impact of both conditions
Commonly Confused Codes
F19.180 — Use this for substance ABUSE with induced anxiety, not dependence; dependence requires meeting additional criteria such as tolerance and withdrawalF19.20 — Use this for substance dependence without any induced disorders; F19.280 specifically captures the comorbid anxietyF41.1 — Generalized anxiety disorder is a primary anxiety diagnosis; use F19.280 only when the anxiety is clearly substance-inducedF13.280 — Use this when the specific substance is a sedative/hypnotic/anxiolytic rather than 'other' psychoactive substance
Code Hierarchy
└F19Other psychoactive substance related disorders└F19.2Other psychoactive substance dependence└F19.28Other psychoactive substance dependence with other psychoactive substance-induced disorders└F19.280Other psychoactive substance dependence with psychoactive substance-induced anxiety disorder
└F19.280Other psychoactive substance dependence with psychoactive substance-induced anxiety disorder