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ICD-10 Guide
ICD-10 CodesF19.922

F19.922

Billable

Other psychoactive substance use, unspecified with intoxication with perceptual disturbance

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

Code Description

ICD-10 F19.922 is a billable code used to indicate a diagnosis of other psychoactive substance use, unspecified with intoxication with perceptual disturbance.

Key Diagnostic Point:

F19.922 refers to a condition characterized by the use of psychoactive substances that are not specifically classified elsewhere, leading to intoxication accompanied by perceptual disturbances. This can manifest as altered sensory perceptions, such as hallucinations or distortions in the perception of reality. Patients may experience visual or auditory hallucinations, altered sense of time, and changes in mood or cognition. The intoxication can result from various substances, including synthetic drugs, club drugs, or other non-specific psychoactive agents. The diagnosis requires careful assessment of the patient's history, substance use patterns, and the specific symptoms experienced during intoxication. Treatment often involves supportive care, monitoring, and potentially the use of medications to manage symptoms. Long-term management may include substance use disorder treatment programs, counseling, and rehabilitation services to address underlying addiction issues.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of substances that can lead to similar symptoms
  • Need for thorough patient history to determine substance use
  • Potential overlap with other mental health disorders
  • Documentation of perceptual disturbances can be subjective

Audit Risk Factors

  • Inadequate documentation of substance use history
  • Failure to specify the substance leading to intoxication
  • Lack of evidence for perceptual disturbances
  • Misclassification of the condition as a different substance use disorder

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute intoxication, hallucinations, or altered mental status.

Billing Considerations

Consideration of co-occurring mental health disorders and the need for a comprehensive treatment plan.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use, including frequency, duration, and impact on functioning.

Common Clinical Scenarios

Patients seeking help for substance use issues, often with a history of multiple substance use.

Billing Considerations

Focus on long-term recovery strategies and potential referral to rehabilitation programs.

Coding Guidelines

Inclusion Criteria

Use F19.922 When
  • Follow the ICD
  • CM guidelines for coding substance use disorders, ensuring accurate documentation of the patient's substance use history and current symptoms
  • Include details about the specific perceptual disturbances experienced

Exclusion Criteria

Do NOT use F19.922 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Assessment of substance use disorder

Clinical Scenario

Used during initial evaluation of a patient with suspected substance use issues.

Documentation Requirements

Comprehensive assessment notes including history and current symptoms.

Specialty Considerations

Psychiatric evaluation may require additional mental health assessments.

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, improving the ability to track and treat these conditions effectively. F19.922 provides a clear framework for identifying cases of unspecified psychoactive substance use with intoxication.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to track and treat these conditions effectively. F19.922 provides a clear framework for identifying cases of unspecified psychoactive substance use with intoxication.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to track and treat these conditions effectively. F19.922 provides a clear framework for identifying cases of unspecified psychoactive substance use with intoxication.

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 fall under F19.922?

F19.922 includes a variety of psychoactive substances not specifically classified, such as synthetic drugs, hallucinogens, and other non-specific agents that can cause intoxication with perceptual disturbances.