F19.922
BillableOther psychoactive substance use, unspecified with intoxication with perceptual disturbance
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
Current use of various psychoactive substances causing intoxication with visual, auditory, or tactile hallucinations or distorted perceptions.
Coding Tips
- •This code specifically indicates perceptual disturbances (hallucinations) during intoxication
- •Document whether hallucinations are visual, auditory, or tactile for clinical clarity
Clinical Significance
Other psychoactive substance use, unspecified with intoxication with perceptual disturbance captures substance intoxication complicated by hallucinations or sensory distortions without full delirium. This presentation requires careful clinical monitoring as it may progress to a more severe state. The distinction between perceptual disturbances and delirium is clinically significant and affects treatment planning, making accurate coding essential for reflecting the complexity of care provided.
Documentation Requirements
- ✓Documentation of current intoxication from psychoactive substance(s)
- ✓Specific description of perceptual disturbances (visual, auditory, or tactile hallucinations; illusions; sensory distortions)
- ✓Confirmation that the perceptual disturbances are occurring in the context of intoxication, not withdrawal
- ✓Assessment that full delirium criteria are NOT met (otherwise code F19.921)
- ✓Clinical evaluation of the patient's insight into the perceptual disturbances
- ✓Substance identification when possible and safety assessment
Commonly Confused Codes
F19.921 — Intoxication WITH DELIRIUM represents a more severe state with global cognitive dysfunction, not just perceptual disturbancesF19.920 — Intoxication, UNCOMPLICATED should be used when no perceptual disturbances or delirium are presentF19.950 — Substance-induced PSYCHOTIC DISORDER with delusions is a separate condition from intoxication with perceptual disturbanceF19.951 — Substance-induced psychotic disorder with hallucinations is distinct because it represents a psychotic break, not simple intoxication effects
Code Hierarchy
└F19Other psychoactive substance related disorders└F19.9Other psychoactive substance use, unspecified└F19.92Other psychoactive substance use, unspecified with intoxication└F19.922Other psychoactive substance use, unspecified with intoxication with perceptual disturbance
└F19.922Other psychoactive substance use, unspecified with intoxication with perceptual disturbance