F19.932
BillableOther psychoactive substance use, unspecified with withdrawal with perceptual disturbance
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 hallucinations or distorted perceptions.
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 disturbancesF19.930 — UNCOMPLICATED withdrawal has no perceptual disturbancesF19.922 — INTOXICATION with perceptual disturbance occurs during active substance effects, not withdrawalF10.232 — ALCOHOL withdrawal with perceptual disturbance should be used when the substance is specifically alcohol
Code Hierarchy
└F19Other psychoactive substance related disorders└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
└F19.932Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance