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ICD-10 Guide
ICD-10 CodesF19.932

F19.932

Billable

Other psychoactive substance use, unspecified with withdrawal with perceptual disturbance

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

Code Description

ICD-10 F19.932 is a billable code used to indicate a diagnosis of other psychoactive substance use, unspecified with withdrawal with perceptual disturbance.

Key Diagnostic Point:

F19.932 refers to a condition characterized by the use of unspecified psychoactive substances leading to withdrawal symptoms that include perceptual disturbances. This code is utilized when a patient exhibits signs of withdrawal from substances not specifically classified under other codes, and these symptoms significantly impact their perception of reality, potentially leading to hallucinations or altered sensory experiences. The withdrawal phase can be distressing and may require medical intervention to manage symptoms effectively. Treatment often involves a combination of pharmacological support to alleviate withdrawal symptoms and psychosocial interventions to address the underlying substance use disorder. Clinicians must carefully assess the patient's history of substance use, the specific substances involved, and the severity of withdrawal symptoms to provide appropriate care and documentation for coding purposes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of the psychoactive substance complicates documentation.
  • Withdrawal symptoms can vary widely, requiring detailed clinical assessment.
  • Perceptual disturbances may overlap with other mental health conditions.
  • Need for comprehensive patient history to determine appropriate treatment.

Audit Risk Factors

  • Inadequate documentation of substance use history.
  • Failure to specify the nature of perceptual disturbances.
  • Lack of clear treatment plans or follow-up documentation.
  • Inconsistent coding practices among providers.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, withdrawal symptoms, and treatment plans.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms from various substances, including illicit drugs.

Billing Considerations

Consideration of co-occurring mental health disorders and their impact on treatment.

Psychiatry

Documentation Requirements

Comprehensive psychiatric evaluation, including mental status examination and risk assessment.

Common Clinical Scenarios

Patients experiencing hallucinations or altered perceptions due to withdrawal.

Billing Considerations

Differentiating between substance-induced symptoms and primary psychiatric disorders.

Coding Guidelines

Inclusion Criteria

Use F19.932 When
  • Follow the ICD
  • CM coding guidelines for substance use disorders, ensuring accurate documentation of withdrawal symptoms and their impact on the patient's functioning
  • Include details about the specific psychoactive substances involved when possible

Exclusion Criteria

Do NOT use F19.932 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 withdrawal symptoms.

Documentation Requirements

Document the assessment findings and treatment recommendations.

Specialty Considerations

Ensure alignment with addiction treatment protocols.

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. F19.932 provides a means to capture cases of withdrawal with perceptual disturbances that may not fit neatly into other categories.

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. F19.932 provides a means to capture cases of withdrawal with perceptual disturbances that may not fit neatly into other categories.

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. F19.932 provides a means to capture cases of withdrawal with perceptual disturbances that may not fit neatly into other categories.

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 should I document to support the use of F19.932?

Document the patient's substance use history, specific withdrawal symptoms experienced, and any perceptual disturbances. Include treatment plans and responses to interventions.