F10-F19
Medium Complexity
Mental and behavioral disorders due to psychoactive substance use
Primary Specialty: Psychiatry
Last Updated: 2025-09-09
ICD-10 Codes (200)
200 billable0 category headers
F11Billable
F11.1Billable
F11.10Billable
F11.11Billable
F11.12Billable
F11.120Billable
F11.121Billable
F11.122Billable
F11.129Billable
F11.13Billable
F11.14Billable
F11.15Billable
F11.150Billable
F11.151Billable
F11.159Billable
F11.18Billable
F11.181Billable
F11.182Billable
F11.188Billable
F11.19Billable
F11.2Billable
F11.20Billable
F11.21Billable
F11.22Billable
F11.220Billable
F11.221Billable
F11.222Billable
F11.229Billable
F11.23Billable
F11.24Billable
F11.25Billable
F11.250Billable
F11.251Billable
F11.259Billable
F11.28Billable
F11.281Billable
F11.282Billable
F11.288Billable
F11.29Billable
F11.9Billable
F11.90Billable
F11.91Billable
F11.92Billable
F11.920Billable
F11.921Billable
F11.922Billable
F11.929Billable
F11.93Billable
F11.94Billable
F11.95Billable
F11.950Billable
F11.951Billable
F11.959Billable
F11.98Billable
F11.981Billable
F11.982Billable
F11.988Billable
F11.99Billable
F12Billable
F12.1Billable
F12.10Billable
F12.11Billable
F12.12Billable
F12.120Billable
F12.121Billable
F12.122Billable
F12.129Billable
F12.13Billable
F12.15Billable
F12.150Billable
F12.151Billable
F12.159Billable
F12.18Billable
F12.180Billable
F12.188Billable
F12.19Billable
F12.2Billable
F12.20Billable
F12.21Billable
F12.22Billable
F12.220Billable
F12.221Billable
F12.222Billable
F12.229Billable
F12.23Billable
F12.25Billable
F12.250Billable
F12.251Billable
F12.259Billable
F12.28Billable
F12.280Billable
F12.288Billable
F12.29Billable
F12.9Billable
F12.90Billable
F12.91Billable
F12.92Billable
F12.920Billable
F12.921Billable
F12.922Billable
F12.929Billable
F12.93Billable
F12.95Billable
F12.950Billable
F12.951Billable
F12.959Billable
F12.98Billable
F12.980Billable
F12.988Billable
F12.99Billable
F13Billable
F13.1Billable
F13.10Billable
F13.11Billable
F13.12Billable
F13.120Billable
F13.121Billable
F13.129Billable
F13.13Billable
F13.130Billable
F13.131Billable
F13.132Billable
F13.139Billable
F13.14Billable
F13.15Billable
F13.150Billable
F13.151Billable
F13.159Billable
F13.18Billable
F13.180Billable
F13.181Billable
F13.182Billable
F13.188Billable
F13.19Billable
F13.2Billable
F13.20Billable
F13.21Billable
F13.22Billable
F13.220Billable
F13.221Billable
F13.229Billable
F13.23Billable
F13.230Billable
F13.231Billable
F13.232Billable
F13.239Billable
F13.24Billable
F13.25Billable
F13.250Billable
F13.251Billable
F13.259Billable
F13.26Billable
F13.27Billable
F13.28Billable
F13.280Billable
F13.281Billable
F13.282Billable
F13.288Billable
F13.29Billable
F13.9Billable
F13.90Billable
F13.91Billable
F13.92Billable
F13.920Billable
F13.921Billable
F13.929Billable
F13.93Billable
F13.930Billable
F13.931Billable
F13.932Billable
F13.939Billable
F13.94Billable
F13.95Billable
F13.950Billable
F13.951Billable
F13.959Billable
F13.96Billable
F13.97Billable
F13.98Billable
F13.980Billable
F13.981Billable
F13.982Billable
F13.988Billable
F13.99Billable
F14Billable
F14.1Billable
F14.10Billable
F14.11Billable
F14.12Billable
F14.120Billable
F14.121Billable
F14.122Billable
F14.129Billable
F14.13Billable
F14.14Billable
F14.15Billable
F14.150Billable
F14.151Billable
F14.159Billable
F14.18Billable
Updates & Changes
FY 2026 Updates
Current Year
New Codes (2)
F10.288
Alcohol use disorder with other alcohol-induced disorder, severe
F11.288
Opioid use disorder with other opioid-induced disorder, severe
Revised Codes (2)
F11.10
Opioid abuse, uncomplicated - updated to align with DSM-5-TR criteria
F12.10
Cannabis abuse, uncomplicated - updated terminology and criteria
Deleted Codes
No codes deleted in this range for FY 2026
Historical Changes
- •FY 2025: Updated substance use disorder severity classifications
- •FY 2024: Enhanced coding for medication-assisted treatment
- •FY 2023: Added codes for cannabis hyperemesis syndrome
Upcoming Changes
- •Proposed codes for synthetic drug use disorders
- •Under review: Enhanced coding for dual diagnosis conditions
Implementation Guidance
- •Review all FY 2026 updates for F10-F19 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
high priority
The F10-F19 range in ICD-10 pertains to mental and behavioral disorders due to psychoactive substance use. This includes conditions resulting from the abuse, dependence, withdrawal, or induced disorders from substances like alcohol, opioids, cannabinoids, sedatives, cocaine, and other stimulants. The codes also account for remission states and unspecified psychoactive substance use disorders.
Key Usage Points:
- •F10-F19 codes should specify the substance involved, the nature of the disorder (dependence, abuse, etc.), and the current state (acute intoxication, withdrawal, etc.).
- •The fifth character in these codes typically indicates the clinical state of the disorder.
- •F10-F19 codes can be used in conjunction with Z codes (Z50-Z59) to indicate ongoing treatment or counseling for substance use.
- •In cases of polysubstance abuse, multiple codes from this range may be necessary.
- •F19 codes are used when the substance causing the disorder is not specified.
Coding Guidelines
When to Use:
- ✓When a patient presents with symptoms of withdrawal from a specific substance.
- ✓When a patient is diagnosed with substance-induced mental disorders.
- ✓When a patient is in remission from substance abuse and is receiving ongoing treatment.
- ✓When a patient's condition is directly caused by the misuse of a psychoactive substance.
- ✓When a patient has a history of substance abuse, even if currently in remission.
When NOT to Use:
- ✗When a patient's substance use is recreational and does not meet criteria for abuse or dependence.
- ✗When a patient's mental disorder is not directly caused by substance use.
- ✗When a patient's substance use is under the supervision of a physician (e.g., prescription medications).
- ✗When a patient's symptoms are due to intoxication but do not meet the criteria for a substance use disorder.
- ✗When a patient has a history of substance use but has never been diagnosed with a substance use disorder.
Code Exclusions
Always verify exclusions with the latest ICD-10-CM official guidelines and the patient's medical record.
Documentation Requirements
Documentation for F10-F19 codes should clearly state the substance involved, the nature of the disorder, and the current clinical state. It should also include any relevant history of substance use and any associated mental or physical health conditions.
Clinical Information:
- •Specific substance causing the disorder
- •Nature of the disorder (abuse, dependence, withdrawal, etc.)
- •Current clinical state (acute intoxication, in remission, etc.)
- •History of substance use
- •Associated mental or physical health conditions
Supporting Evidence:
- •Clinical notes from mental health professionals
- •Results from substance use screening tools
- •Laboratory test results confirming substance use
- •Patient self-reports or reports from family members
Good Documentation Example:
Patient presents with severe withdrawal symptoms from chronic alcohol use. Diagnosed with alcohol dependence, currently in withdrawal (F10.23).
Common Documentation Errors:
- âš Not specifying the substance involved
- âš Not indicating the nature of the disorder
- âš Not documenting the current clinical state
- âš Not including associated mental or physical health conditions
Range Statistics
10
Total Codes
200
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:5
Coding Complexity
Medium
Complexity Rating
Coding for F10-F19 can be complex due to the need to accurately identify the substance involved, the nature of the disorder, and the current clinical state. Additionally, associated mental and physical health conditions can complicate the coding process. In cases of polysubstance abuse, multiple codes may need to be used, further increasing complexity.
Key Factors:
- â–¸Determining the specific substance involved
- â–¸Identifying the nature of the disorder
- â–¸Assessing the current clinical state
- â–¸Considering associated mental and physical health conditions
- â–¸Navigating multiple codes in cases of polysubstance abuse
Specialty Focus
F10-F19 codes are most commonly used in psychiatry, addiction medicine, and emergency medicine. They can also be relevant in primary care, especially when managing patients with chronic substance use disorders.
Primary Specialties:
Psychiatry
40%
Addiction Medicine
30%
Emergency Medicine
20%
Primary Care
10%
Clinical Scenarios:
- • A patient presenting to the ER with symptoms of opioid withdrawal.
- • A patient in a psychiatric clinic diagnosed with cannabis-induced psychosis.
- • A patient in an addiction treatment center being treated for alcohol dependence.
- • A patient in primary care being screened for substance use disorders.
Resources & References
Resources for F10-F19 coding include the ICD-10-CM official guidelines, the DSM-5 criteria for substance use disorders, and various clinical and educational resources on substance use disorders.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- DSM-5 Criteria for Substance Use Disorders
- World Health Organization's ICD-10 Classification of Mental and Behavioural Disorders
Clinical References:
- American Society of Addiction Medicine
- National Institute on Drug Abuse
- Substance Abuse and Mental Health Services Administration
Educational Materials:
- American Health Information Management Association (AHIMA)
- American Academy of Professional Coders (AAPC)
- Centers for Disease Control and Prevention (CDC) ICD-10 Training
Frequently Asked Questions
How do I code for a patient with polysubstance abuse?
In cases of polysubstance abuse, you may need to use multiple codes from the F10-F19 range to accurately represent each substance involved.
What if the substance causing the disorder is not specified?
If the substance is not specified, you can use codes from the F19 range.