F19.982
BillableOther psychoactive substance use, unspecified with psychoactive substance-induced sleep disorder
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
Sleep problems such as insomnia, excessive sleepiness, or abnormal sleep patterns that develop directly from the use of various psychoactive substances.
Coding Tips
- •Specify the type of sleep disturbance (insomnia, hypersomnia, parasomnia) when documented
- •Note whether sleep problems occur during use, withdrawal, or both
Clinical Significance
Other psychoactive substance use, unspecified with substance-induced sleep disorder captures sleep disturbances (insomnia, hypersomnia, parasomnias) directly caused by substance use. Sleep disorders are among the most prevalent comorbidities in substance users and significantly impact treatment outcomes and relapse risk. Accurate coding of this dual condition supports risk adjustment and reflects the integrated care approach needed for these patients.
Documentation Requirements
- ✓Documentation of current psychoactive substance use
- ✓Specific type of sleep disorder identified (insomnia, hypersomnia, parasomnia, circadian rhythm disruption)
- ✓Temporal relationship between substance use and sleep disorder onset
- ✓Provider determination that sleep disturbance is substance-induced
- ✓Assessment of sleep disorder severity and impact on daily functioning
- ✓Whether sleep problems occur during active use, withdrawal, or both
Commonly Confused Codes
F19.282 — Substance DEPENDENCE with induced sleep disorder; use when dependence criteria are documentedF19.182 — Substance ABUSE with induced sleep disorder; use when abuse criteria are documentedG47.00 — Insomnia, unspecified is a primary diagnosis not attributed to substance useF51.01 — Primary insomnia should be used when sleep disorder is unrelated to substance useG47.10 — Hypersomnia, unspecified should be used for primary hypersomnia
Code Hierarchy
└F19Other psychoactive substance related disorders└F19.9Other psychoactive substance use, unspecified└F19.98Other psychoactive substance use, unspecified with other psychoactive substance-induced disorders└F19.982Other psychoactive substance use, unspecified with psychoactive substance-induced sleep disorder
└F19.982Other psychoactive substance use, unspecified with psychoactive substance-induced sleep disorder