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ICD-10 Guide
ICD-10 CodesF19.24

F19.24

Billable

Other psychoactive substance dependence with psychoactive substance-induced mood disorder

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

Code Description

ICD-10 F19.24 is a billable code used to indicate a diagnosis of other psychoactive substance dependence with psychoactive substance-induced mood disorder.

Key Diagnostic Point:

F19.24 refers to a condition characterized by dependence on psychoactive substances that are not classified under other specific categories, accompanied by a mood disorder induced by the substance. This diagnosis indicates that the individual has developed a psychological and physical reliance on substances that alter mood, perception, or consciousness, leading to significant impairment in social, occupational, or other important areas of functioning. The mood disorder can manifest as depression, mania, or other mood disturbances directly linked to the substance use. Clinicians must assess the severity of dependence and the specific mood disorder symptoms to provide appropriate treatment. Treatment often involves a combination of detoxification, psychotherapy, and medication management to address both the substance dependence and the mood disorder. Accurate diagnosis and coding are crucial for effective treatment planning and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of psychoactive substances that can lead to dependence.
  • Need for comprehensive 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 symptoms.
  • Misclassification of the substance type.
  • Lack of evidence for treatment interventions.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including substance use patterns and mood disorder symptoms.

Common Clinical Scenarios

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

Billing Considerations

Consideration of dual diagnosis and the impact of withdrawal symptoms on mood.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use and its impact on mental health.

Common Clinical Scenarios

Patients undergoing detoxification with concurrent mood disorders.

Billing Considerations

Focus on integrated treatment plans addressing both addiction and mood disorders.

Coding Guidelines

Inclusion Criteria

Use F19.24 When
  • According to ICD
  • 10 guidelines, F19
  • 24 should be used when there is clear evidence of substance dependence and a mood disorder directly induced by the substance
  • Documentation must support the diagnosis, including the type of substance and the specific mood disorder symptoms

Exclusion Criteria

Do NOT use F19.24 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 dependence and mood disorder.

Documentation Requirements

Comprehensive assessment notes detailing substance use and mood symptoms.

Specialty Considerations

Psychiatric evaluations should include substance use history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more precise coding of substance use disorders, including the differentiation of mood disorders induced by substance use. This specificity aids in better treatment planning and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more precise coding of substance use disorders, including the differentiation of mood disorders induced by substance use. This specificity aids in better treatment planning and resource allocation.

Reimbursement & Billing Impact

reimbursement.

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 F19.24 and other substance use disorder codes?

F19.24 specifically indicates dependence on psychoactive substances with an associated mood disorder, while other codes may refer to dependence without mood disturbances or to specific substances.