F19.931
BillableOther psychoactive substance use, unspecified with withdrawal delirium
HCC Category Mapping
V28HCC 135 — Drug/Alcohol Psychosis
0.000V24HCC 54 — Drug/Alcohol Psychosis
0.434ESRDHCC 54 — Drug/Alcohol Psychosis
0.000What This Code Means
Stopping use of various psychoactive substances with withdrawal symptoms including confusion, disorientation, or altered mental state.
Coding Tips
- •This is a more severe withdrawal presentation with delirium requiring medical intervention
- •Withdrawal delirium is a medical emergency requiring close monitoring and treatment
Clinical Significance
Other psychoactive substance use, unspecified with withdrawal delirium is a medical emergency representing the most dangerous form of substance withdrawal. Withdrawal delirium (delirium tremens in alcohol, though this code covers other substances) can be life-threatening and requires intensive medical intervention, often in an ICU setting. This code captures the acute severity and high resource utilization of this critical presentation, making it essential for accurate risk adjustment.
Documentation Requirements
- ✓Documentation of active withdrawal from psychoactive substance(s)
- ✓Clinical assessment confirming delirium criteria (acute onset, fluctuating consciousness, disorientation, cognitive disturbance)
- ✓Vital signs monitoring documentation (tachycardia, hypertension, fever are common)
- ✓Use of validated delirium assessment tool (CAM, CAM-ICU)
- ✓Description of severity, including any autonomic instability or seizure risk
- ✓Intensive monitoring and treatment plan (benzodiazepines, IV fluids, seizure precautions)
Commonly Confused Codes
F19.930 — UNCOMPLICATED withdrawal lacks delirium; ensure full delirium criteria are met before coding F19.931F19.921 — INTOXICATION with delirium is a different clinical scenario (active substance effects vs. withdrawal)F10.231 — ALCOHOL withdrawal delirium (delirium tremens) should be used when the substance is specifically alcoholF19.932 — Withdrawal with PERCEPTUAL DISTURBANCE is less severe than withdrawal deliriumF05 — Delirium due to known physiological condition should be used when delirium is from a medical cause, not withdrawal
Code Hierarchy
└F19Other psychoactive substance related disorders└F19.9Other psychoactive substance use, unspecified└F19.93Other psychoactive substance use, unspecified with withdrawal└F19.931Other psychoactive substance use, unspecified with withdrawal delirium
└F19.931Other psychoactive substance use, unspecified with withdrawal delirium