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ICD-10 Guide
ICD-10 CodesF19.929

F19.929

Billable

Other psychoactive substance use, unspecified with intoxication, unspecified

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

Code Description

ICD-10 F19.929 is a billable code used to indicate a diagnosis of other psychoactive substance use, unspecified with intoxication, unspecified.

Key Diagnostic Point:

F19.929 is used to classify cases of psychoactive substance use that do not fall under more specific categories, where the intoxication level is unspecified. This code encompasses a range of substances, including but not limited to hallucinogens, inhalants, and other drugs not specifically categorized in the ICD-10. Patients may present with various symptoms of intoxication, which can include altered mental status, impaired judgment, and physical symptoms such as tremors or agitation. The lack of specification regarding the substance used or the severity of intoxication can complicate treatment and management. Clinicians must conduct thorough assessments to determine the appropriate interventions, which may include detoxification, counseling, and rehabilitation programs. Treatment plans should be tailored to the individual’s needs, considering their substance use history and any co-occurring mental health disorders. Accurate coding is crucial for effective treatment planning and insurance reimbursement, as well as for tracking public health trends related to substance use disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of the substance used
  • Variability in symptoms and severity of intoxication
  • Need for comprehensive patient assessment
  • Potential overlap with other substance use disorders

Audit Risk Factors

  • Inadequate documentation of substance use history
  • Failure to specify the type of psychoactive substance
  • Lack of detailed treatment plans
  • Inconsistent coding with clinical documentation

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, including types and frequency of use, and any co-occurring mental health disorders.

Common Clinical Scenarios

Patients presenting with acute intoxication, withdrawal symptoms, or seeking treatment for substance use disorders.

Billing Considerations

Consideration of the patient's overall health, potential for withdrawal, and need for detoxification services.

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluation, including mental status examination and assessment of substance use impact on mental health.

Common Clinical Scenarios

Patients with dual diagnoses of substance use and mental health disorders, requiring integrated treatment approaches.

Billing Considerations

Attention to the interplay between substance use and psychiatric symptoms, ensuring appropriate therapeutic interventions.

Coding Guidelines

Inclusion Criteria

Use F19.929 When
  • According to ICD
  • 10 guidelines, F19
  • 929 should be used when the specific psychoactive substance is not identified, and the intoxication is unspecified
  • Coders must ensure that documentation supports the use of this code, particularly in cases where the substance type is known but not specified in the coding

Exclusion Criteria

Do NOT use F19.929 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0010CPT Code

Alcohol and/or drug services, per 15 minutes

Clinical Scenario

Used in conjunction with F19.929 for outpatient counseling sessions.

Documentation Requirements

Document the duration and nature of counseling provided.

Specialty Considerations

Addiction specialists should ensure that the treatment aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of substance use disorders, but F19.929 remains a broad category that can lead to challenges in treatment planning and reimbursement. Accurate documentation is essential to support the use of this code.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of substance use disorders, but F19.929 remains a broad category that can lead to challenges in treatment planning and reimbursement. Accurate documentation is essential to support the use of this code.

Reimbursement & Billing Impact

reimbursement. Accurate documentation is essential to support the use of this code.

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

When should I use F19.929?

F19.929 should be used when a patient presents with psychoactive substance use and intoxication is documented but the specific substance is not identified. Ensure that the documentation supports the use of this code.