F19.97

Billable

Other psychoactive substance use, unspecified with psychoactive substance-induced persisting dementia

HCC Category Mapping

V28HCC 135 — Drug/Alcohol Psychosis

0.000

V24HCC 54 — Drug/Alcohol Psychosis

0.434

ESRDHCC 54 — Drug/Alcohol Psychosis

0.000

What This Code Means

A progressive decline in thinking, memory, and daily functioning that persists as a lasting consequence of psychoactive substance use.

Coding Tips

•Differentiate between substance-induced persisting dementia and primary neurodegenerative dementias
•Document cognitive testing results and functional decline timeline

Clinical Significance

Other psychoactive substance use, unspecified with substance-induced persisting dementia represents a progressive and lasting decline in multiple cognitive domains (memory, reasoning, language, executive function) caused by substance use. This is among the most severe long-term consequences of substance abuse and requires extensive ongoing care. The 'persisting' designation indicates permanent brain damage that continues after substance cessation, significantly impacting the patient's ability to function independently.

Documentation Requirements

✓Documentation of current or historical psychoactive substance use
✓Comprehensive cognitive assessment demonstrating deficits in multiple domains (memory, executive function, language, visuospatial)
✓Provider determination that dementia is substance-induced and not due to neurodegenerative disease
✓Functional impact assessment showing decline from prior baseline
✓Neuroimaging findings when available (cerebral atrophy, white matter disease)
✓Assessment of the patient's capacity for self-care and decision-making

Commonly Confused Codes

F10.97 — ALCOHOL-induced persisting dementia; use when alcohol is the specific substance F19.96 — Substance-induced persisting AMNESTIC DISORDER is limited to memory; dementia is broader cognitive decline F03.90 — Unspecified dementia should not be used when the substance-induced etiology is established G31.2 — Degeneration of nervous system due to alcohol is a different classification F01.50 — Vascular dementia should be used when the etiology is cerebrovascular, not substance-related

Code Hierarchy

└F19Other psychoactive substance related disorders └F19.9Other psychoactive substance use, unspecified └F19.97Other psychoactive substance use, unspecified with psychoactive substance-induced persisting dementia

└F19.97Other psychoactive substance use, unspecified with psychoactive substance-induced persisting dementia