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ICD-10 Guide
ICD-10 CodesF55.8

F55.8

Billable

Abuse of other non-psychoactive substances

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F55.8 is a billable code used to indicate a diagnosis of abuse of other non-psychoactive substances.

Key Diagnostic Point:

F55.8 refers to the abuse of substances that do not have psychoactive effects but are misused for their perceived benefits. This can include various non-psychoactive substances such as certain dietary supplements, herbal products, or over-the-counter medications that are not classified as controlled substances. The misuse of these substances can lead to significant health issues, including nutritional deficiencies, metabolic disturbances, and psychological effects. In the context of eating disorders, individuals may misuse non-psychoactive substances to control weight or enhance physical appearance. In sleep disorders, some may misuse supplements intended for sleep enhancement, leading to dependency or adverse effects. Sexual dysfunction may also be linked to the misuse of certain non-psychoactive substances, as individuals may seek to enhance sexual performance or libido. Behavioral syndromes can arise from the compulsive use of these substances, leading to a cycle of abuse that complicates treatment and recovery. Accurate diagnosis and coding are essential for appropriate treatment and management of these conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of substances classified as non-psychoactive
  • Overlap with other substance abuse codes
  • Need for thorough documentation of substance use history
  • Potential for co-occurring mental health disorders

Audit Risk Factors

  • Inadequate documentation of substance use
  • Failure to specify the type of non-psychoactive substance
  • Misclassification of the condition as a psychoactive substance abuse
  • Lack of evidence for the impact of substance abuse on health

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed history of substance use, mental health evaluations, and treatment plans.

Common Clinical Scenarios

Patients presenting with anxiety or depression linked to substance misuse.

Billing Considerations

Consideration of co-occurring disorders and the impact of substance abuse on mental health.

Nutrition

Documentation Requirements

Comprehensive dietary assessments and documentation of any supplements or non-psychoactive substances used.

Common Clinical Scenarios

Patients with eating disorders misusing supplements for weight control.

Billing Considerations

Monitoring for nutritional deficiencies and metabolic effects of substance misuse.

Coding Guidelines

Inclusion Criteria

Use F55.8 When
  • According to ICD
  • 10 guidelines, F55
  • 8 should be used when there is clear documentation of the abuse of non
  • psychoactive substances
  • It is important to specify the substance and its effects on the patient's health

Exclusion Criteria

Do NOT use F55.8 When
  • Exclusion criteria include cases where the substance is used as prescribed or for legitimate medical purposes

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

Used when counseling patients about the risks of non-psychoactive substance abuse.

Documentation Requirements

Document the counseling session details and patient responses.

Specialty Considerations

Important for primary care providers addressing substance misuse.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of non-psychoactive substance abuse, improving the ability to track and manage these conditions. It has also facilitated better understanding of the prevalence and impact of these issues in clinical practice.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of non-psychoactive substance abuse, improving the ability to track and manage these conditions. It has also facilitated better understanding of the prevalence and impact of these issues in clinical practice.

Reimbursement & Billing Impact

impact on their health, and any treatment provided. Clear linkage between diagnosis and treatment is essential for reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What types of substances are included under F55.8?

F55.8 includes a variety of non-psychoactive substances such as dietary supplements, herbal products, and over-the-counter medications that are misused for their perceived benefits.

How can I differentiate between F55.8 and other substance abuse codes?

F55.8 should be used specifically for non-psychoactive substances. If the substance has psychoactive effects, other codes such as F10 (Alcohol use disorder) or F11 (Opioid use disorder) should be used.