Yes. F19.932 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. F19.932 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Which HCC does F19.932 map to under V28?

F19.932 maps to CMS-HCC V28 HCC 135 (Drug Use with Psychotic Complications). The category numbers, labels, and conditions come from the CMS-HCC V28 model file for payment year 2026.

2026 ICD-10-CM F19.932: Other psychoactive

F19.932 maps to CMS-HCC V28 135. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · free HCC coding tools

ICD-10-CM Code View

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Code lookupF19.932

Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)

F19.932

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance

Stopping use of various psychoactive substances with withdrawal symptoms including hallucinations or distorted perceptions.

Buddy Insight

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

Mapped

HCC 135

Drug Use with Psychotic Compl...

Code-level coefficient reference

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

Mapped

HCC 081

HHS-HCC 081 adult, RAF varies...

Code-level coefficient reference

ESRD/PACE

Mapped

HCC 54

Substance Use with Psychotic ...

Code-level coefficient reference

RXHCC

N/A

—

Not risk-adjusted for this model/period.

Not mapped

Code Book Path

Official

F19.9Other psychoactive substance use, unspecified F19.93Other psychoactive substance use, unspecified with withdrawal F19.932Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance

Inclusion Terms

Official

No inclusion terms are included in this display for F19.932. Check the code and parent instructions in the Code Book.

Excludes 2

Official

symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99

Related Codes

Official

F19.930Other psychoactive substance use, unspecified with withdrawal, uncomplicated F19.931Other psychoactive substance use, unspecified with withdrawal delirium F19.939Other psychoactive substance use, unspecified with withdrawal, unspecified

Includes

Official

disorders of psychological developmentInherited from F01-F99, F19
polysubstance drug use (indiscriminate drug use)Inherited from F01-F99, F19

Excludes 1

Official

other psychoactive substance abuse (F19.1-)Inherited from F19.9, F19.93
other psychoactive substance dependence (F19.2-)Inherited from F19.9, F19.93
other psychoactive substance use, unspecified with intoxication (F19.92-)Inherited from F19.9, F19.93

Code First

Official

No Code First sequencing instructions are included in this display for F19.932. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F19.932. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F19.932. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance

Documentation of active withdrawal from psychoactive substance(s)

Description of specific perceptual disturbances (type of hallucinations: visual, auditory, tactile)

Assessment that full delirium criteria are NOT met (otherwise use F19.931)

Patient's level of insight into the perceptual disturbances

MEAT Support

HCC Buddy guidance

Documentation of active withdrawal from psychoactive substance(s)

Description of specific perceptual disturbances (type of hallucinations: visual, auditory, tactile)

Assessment that full delirium criteria are NOT met (otherwise use F19.931)

Patient's level of insight into the perceptual disturbances

Audit Caution

HCC Buddy guidance

Coding uncomplicated withdrawal when documentation describes any hallucinations or perceptual disturbances during the withdrawal period

Not recognizing that hallucinations during withdrawal map to HCC 54 (higher value) rather than HCC 55

Confusing withdrawal hallucinations with substance-induced psychotic disorder (F19.950/F19.951), which is a separate condition

Failing to distinguish between withdrawal with perceptual disturbance and withdrawal delirium based on the presence of full delirium criteria

Common Mistakes

HCC Buddy guidance

F19.931 — Withdrawal DELIRIUM is more severe with global cognitive dysfunction; F19.932 has isolated perceptual disturbances

F19.930 — UNCOMPLICATED withdrawal has no perceptual disturbances

F19.922 — INTOXICATION with perceptual disturbance occurs during active substance effects, not withdrawal

F10.232 — ALCOHOL withdrawal with perceptual disturbance should be used when the substance is specifically alcohol

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is F19.932 an HCC code?

Yes. F19.932 (Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance) maps to HCC 135, Drug Use with Psychotic Complications under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.424. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: F19.932 is billable and maps to V28 HCC 135, Drug Use with Psychotic Complications. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code: F19.932
Description: Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance
HCC (V28): HCC 135 — Drug Use with Psychotic Complications
RAF reference coefficient: 0.424
Billable: Yes
Payment year: 2026

HCC Category Mapping

V28HCC 135, Drug Use with Psychotic Complications

0.424

ESRDHCC 54, Substance Use with Psychotic Complications

Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work F19.932 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F19.932

For F19.932, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
EEvaluate: test results, medication response, or physical findings reviewed by the provider
AAssess: explicit mention in the assessment or plan with acknowledgment of status
TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Coder workflow notes

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What This Code Means

F19.932 is the ICD-10-CM diagnosis code for other psychoactive substance use, unspecified with withdrawal with perceptual disturbance. Stopping use of various psychoactive substances with withdrawal symptoms including hallucinations or distorted perceptions. F19.932 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).

Under the CMS-HCC V28 risk adjustment model, F19.932 maps to Drug Use with Psychotic Complications (HCC 135) with a source-labeled community, non-dual, aged reference coefficient of 0.424. No V24 mapping is shown for F19.932; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

This code indicates withdrawal with perceptual disturbances such as hallucinations. For F19.932, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F19.932 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•This code indicates withdrawal with perceptual disturbances such as hallucinations
•Document the type of perceptual disturbance (visual, auditory, tactile) when possible

Clinical Significance

Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance represents withdrawal complicated by hallucinations (visual, auditory, or tactile) without meeting full delirium criteria. This is a serious clinical finding that may herald progression to withdrawal delirium and requires close monitoring. Accurate capture is important because it maps to a higher HCC category than uncomplicated withdrawal, reflecting the greater clinical complexity.

Documentation Requirements

✓Documentation of active withdrawal from psychoactive substance(s)
✓Description of specific perceptual disturbances (type of hallucinations: visual, auditory, tactile)
✓Assessment that full delirium criteria are NOT met (otherwise use F19.931)
✓Patient's level of insight into the perceptual disturbances
✓Monitoring frequency and escalation plan if symptoms worsen
✓Treatment interventions for both withdrawal and perceptual disturbances

Commonly Confused Codes

•F19.931: Withdrawal DELIRIUM is more severe with global cognitive dysfunction; F19.932 has isolated perceptual disturbances
•F19.930: UNCOMPLICATED withdrawal has no perceptual disturbances
•F19.922: INTOXICATION with perceptual disturbance occurs during active substance effects, not withdrawal
•F10.232: ALCOHOL withdrawal with perceptual disturbance should be used when the substance is specifically alcohol