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ICD-10 Guide
ICD-10 CodesF19.14

F19.14

Billable

Other psychoactive substance abuse with psychoactive substance-induced mood disorder

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

Code Description

ICD-10 F19.14 is a billable code used to indicate a diagnosis of other psychoactive substance abuse with psychoactive substance-induced mood disorder.

Key Diagnostic Point:

F19.14 refers to the abuse of psychoactive substances that are not classified under specific categories such as alcohol, cannabis, or opioids, leading to a mood disorder induced by the substance. This can include substances like hallucinogens, inhalants, or other synthetic drugs. Patients may experience symptoms such as depression, mania, or mood swings that are directly linked to their substance use. The diagnosis requires a thorough assessment of the patient's substance use history, the impact on their mood, and the duration of symptoms. Treatment often involves a combination of detoxification, psychotherapy, and support groups, focusing on both the substance use disorder and the mood disorder. Clinicians must document the specific substances used, the severity of the mood disorder, and any co-occurring mental health conditions to ensure accurate coding and effective treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of psychoactive substances that can be abused
  • Need for detailed documentation of mood disorder symptoms
  • Differentiation from other substance use disorders
  • Potential for co-occurring mental health conditions

Audit Risk Factors

  • Inadequate documentation of substance use history
  • Failure to specify the mood disorder type
  • Lack of evidence for the relationship between substance use and mood disorder
  • Misclassification of the substance type

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including substance use and mood symptoms, treatment plans, and progress notes.

Common Clinical Scenarios

Patients presenting with mood swings, depressive episodes, or manic episodes linked to substance use.

Billing Considerations

Ensure clear documentation of the timeline of substance use and mood disorder symptoms for accurate coding.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use patterns, withdrawal symptoms, and co-occurring disorders.

Common Clinical Scenarios

Patients undergoing detoxification with mood disturbances or those in recovery experiencing mood-related issues.

Billing Considerations

Document the specific substances involved and any withdrawal symptoms to support the diagnosis.

Coding Guidelines

Inclusion Criteria

Use F19.14 When
  • According to ICD
  • 10 coding guidelines, F19
  • 14 should be used when the substance abuse is confirmed and there is a clear link to the mood disorder
  • Documentation must support the diagnosis, including the type of substance used and the mood disorder's symptoms

Exclusion Criteria

Do NOT use F19.14 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0031CPT Code

Mental health assessment

Clinical Scenario

Used when assessing a patient for substance-induced mood disorders.

Documentation Requirements

Document the assessment findings, including substance use history and mood symptoms.

Specialty Considerations

Psychiatrists should ensure comprehensive evaluations are conducted.

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 mood disorders related to various psychoactive substances. 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 mood disorders related to various psychoactive substances. This specificity aids in better treatment planning and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the ability to capture the nuances of mood disorders related to various psychoactive substances. This specificity aids in better treatment planning and resource allocation.

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 is the difference between F19.14 and other substance use disorder codes?

F19.14 specifically addresses cases where the substance abuse leads to a mood disorder, while other codes may focus on different aspects of substance use or other mental health conditions.