F19.29
BillableOther psychoactive substance dependence with unspecified psychoactive substance-induced 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 other mental health or behavioral problems not specifically described.
Coding Tips
- •Use this code only when a substance-induced disorder is present but does not fit other specified categories
- •Document the specific disorder or symptom in the clinical record for future reference and specificity
Clinical Significance
Other psychoactive substance dependence with unspecified substance-induced disorder is an unspecified code indicating the provider has documented both dependence and a substance-induced complication but has not specified the nature of that complication. While it still captures the HCC, it represents a documentation gap that should ideally be resolved through provider query. This code is important for risk adjustment as it reflects the complexity of substance dependence with comorbid complications.
Documentation Requirements
- ✓Identification of the substance(s) involved in the dependence
- ✓Documentation that dependence criteria are met (not just use or abuse)
- ✓Provider statement that a substance-induced disorder is present
- ✓Attempt to clarify the specific type of induced disorder through provider query
- ✓Current treatment plan addressing the dependence
- ✓Functional impact assessment
Commonly Confused Codes
F19.20 — Substance dependence, uncomplicated, without any induced disorder; F19.29 requires documentation of an induced disorderF19.288 — Other specified substance-induced disorder, when the disorder IS known but lacks a specific codeF19.280-F19.282 — Specific induced disorders (anxiety, sexual dysfunction, sleep) should be used when identifiedF19.99 — Unspecified substance USE with unspecified induced disorder; F19.29 is for documented dependence
Code Hierarchy
└F19Other psychoactive substance related disorders└F19.2Other psychoactive substance dependence└F19.29Other psychoactive substance dependence with unspecified psychoactive substance-induced disorder
└F19.29Other psychoactive substance dependence with unspecified psychoactive substance-induced disorder