F19.282

Billable

Other psychoactive substance dependence with psychoactive substance-induced sleep disorder

HCC Category Mapping

V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe

0.358

V24HCC 55 — Drug/Alcohol Dependence

0.334

ESRDHCC 55 — Drug/Alcohol Dependence

0.000

What This Code Means

Addiction to various drugs or substances that causes sleep problems such as insomnia or excessive sleeping.

Coding Tips

•Document the specific sleep disturbance (insomnia, hypersomnia, parasomnia, etc.)
•Note whether sleep problems occur during active use or during withdrawal periods

Clinical Significance

Other psychoactive substance dependence with substance-induced sleep disorder reflects the significant burden of sleep disruption in patients with substance use disorders. Sleep disturbances are among the most common complaints in substance-dependent patients and are a major driver of relapse. This diagnosis captures both the addiction severity and the sleep-related comorbidity, which together predict higher healthcare utilization and more complex treatment needs.

Documentation Requirements

✓Identification of the specific psychoactive substance(s) causing dependence
✓Documentation of dependence criteria met
✓Specific type of sleep disorder documented (insomnia, hypersomnia, parasomnia, circadian rhythm disruption)
✓Temporal relationship between substance use and sleep disorder onset
✓Provider determination that sleep disorder is substance-induced rather than a primary sleep condition
✓Whether sleep disturbance occurs during active use, during withdrawal, or both

Commonly Confused Codes

F19.182 — Substance ABUSE with induced sleep disorder; requires lower threshold than dependence G47.00 — Insomnia, unspecified should be used for primary sleep disorders not related to substance use F19.230 — Substance dependence with withdrawal, uncomplicated may be more appropriate if sleep problems are part of active withdrawal F51.01 — Primary insomnia should be used when sleep disorder is not causally linked to substance use

Code Hierarchy

└F19Other psychoactive substance related disorders └F19.2Other psychoactive substance dependence └F19.28Other psychoactive substance dependence with other psychoactive substance-induced disorders └F19.282Other psychoactive substance dependence with psychoactive substance-induced sleep disorder

└F19.282Other psychoactive substance dependence with psychoactive substance-induced sleep disorder