F19.930
BillableOther psychoactive substance use, unspecified with withdrawal, uncomplicated
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
Stopping use of various psychoactive substances with withdrawal symptoms that are manageable without severe complications.
Coding Tips
- •Use this code for withdrawal symptoms without delirium or perceptual disturbances
- •Common withdrawal symptoms include anxiety, tremors, sweating, and insomnia
Clinical Significance
Other psychoactive substance use, unspecified with withdrawal, uncomplicated indicates a patient experiencing withdrawal symptoms from psychoactive substances without the serious complications of delirium or perceptual disturbances. Withdrawal management is a critical clinical scenario requiring monitoring and often pharmacological support. This code is important for risk adjustment because it captures the active treatment burden of substance withdrawal.
Documentation Requirements
- ✓Documentation that the patient is in active withdrawal from a psychoactive substance
- ✓Identification of the specific substance(s) when possible
- ✓Description of withdrawal symptoms present (anxiety, tremors, sweating, insomnia, nausea)
- ✓Clinical assessment confirming absence of delirium or perceptual disturbances
- ✓Use of validated withdrawal assessment tool (CIWA-Ar, COWS) when applicable
- ✓Treatment plan for withdrawal management
Commonly Confused Codes
F19.931 — Withdrawal WITH DELIRIUM represents a much more severe and dangerous presentationF19.932 — Withdrawal WITH PERCEPTUAL DISTURBANCE includes hallucinations during withdrawalF19.230 — Substance DEPENDENCE with withdrawal, uncomplicated; use when dependence criteria are documentedF19.920 — INTOXICATION uncomplicated is the opposite clinical scenario from withdrawal
Code Hierarchy
└F19Other psychoactive substance related disorders└F19.9Other psychoactive substance use, unspecified└F19.93Other psychoactive substance use, unspecified with withdrawal└F19.930Other psychoactive substance use, unspecified with withdrawal, uncomplicated
└F19.930Other psychoactive substance use, unspecified with withdrawal, uncomplicated