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ICD-10 Guide
ICD-10 CodesF19.122

F19.122

Billable

Other psychoactive substance abuse with intoxication with perceptual disturbances

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

Code Description

ICD-10 F19.122 is a billable code used to indicate a diagnosis of other psychoactive substance abuse with intoxication with perceptual disturbances.

Key Diagnostic Point:

F19.122 refers to the abuse of psychoactive substances that are not classified under specific categories, leading to intoxication characterized by perceptual disturbances. This condition often manifests through altered sensory perceptions, such as hallucinations or distortions in visual and auditory stimuli. Patients may experience significant impairment in cognitive and motor functions, which can lead to dangerous behaviors. The intoxication phase can be acute, with symptoms varying based on the substance used, and may require immediate medical intervention. Treatment typically involves supportive care, monitoring, and, in some cases, pharmacological interventions to manage symptoms. Long-term management may include substance use disorder treatment programs, counseling, and rehabilitation to address underlying addiction issues and prevent relapse.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of substances that can lead to similar symptoms
  • Need for precise documentation of substance type and usage
  • Differentiation from other substance-related disorders
  • Potential for co-occurring mental health conditions

Audit Risk Factors

  • Inadequate documentation of substance type and quantity
  • Failure to document the presence of perceptual disturbances
  • Misclassification of the type of substance abused
  • Lack of evidence for the diagnosis of intoxication

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including substance use history and mental status examination.

Common Clinical Scenarios

Patients presenting with acute psychosis or altered mental status due to substance use.

Billing Considerations

Documentation must clearly outline the relationship between substance use and psychiatric symptoms.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use patterns, including frequency and context of use.

Common Clinical Scenarios

Patients undergoing detoxification or rehabilitation for substance use disorders.

Billing Considerations

Focus on treatment plans that address both addiction and any co-occurring mental health issues.

Coding Guidelines

Inclusion Criteria

Use F19.122 When
  • According to ICD
  • 10 guidelines, F19
  • 122 should be used when there is clear evidence of substance abuse leading to intoxication with perceptual disturbances
  • Coders must ensure that the documentation supports the diagnosis and that the substance involved is specified

Exclusion Criteria

Do NOT use F19.122 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0031CPT Code

Mental health assessment

Clinical Scenario

Used during initial evaluation of a patient with suspected substance abuse.

Documentation Requirements

Comprehensive assessment notes detailing substance use history and current symptoms.

Specialty Considerations

Psychiatric evaluations must include a thorough review of mental status and substance effects.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the ability to capture the nuances of intoxication and its effects, such as perceptual disturbances. This specificity aids in better treatment planning and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the ability to capture the nuances of intoxication and its effects, such as perceptual disturbances. This specificity aids in better treatment planning and resource allocation.

Reimbursement & Billing Impact

reimbursement and compliance.

Resources

Clinical References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Coding & Billing References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Frequently Asked Questions

What types of substances are included under F19.122?

F19.122 encompasses a wide range of psychoactive substances not specifically classified elsewhere, including synthetic drugs, hallucinogens, and other non-prescription substances that can cause perceptual disturbances.