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ICD-10 Guide
ICD-10 CodesF19.94

F19.94

Billable

Other psychoactive substance use, unspecified with psychoactive substance-induced mood disorder

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

Code Description

ICD-10 F19.94 is a billable code used to indicate a diagnosis of other psychoactive substance use, unspecified with psychoactive substance-induced mood disorder.

Key Diagnostic Point:

F19.94 refers to a condition characterized by the use of psychoactive substances that do not fall under more specific categories, leading to a mood disorder induced by these substances. This code encompasses a range of substances, including but not limited to hallucinogens, inhalants, and other non-specified drugs. Patients may present with symptoms such as depression, anxiety, or mood swings that are directly linked to their substance use. The diagnosis requires careful assessment to differentiate between primary mood disorders and those induced by substance use. Treatment often involves a combination of detoxification, psychotherapy, and support groups, focusing on both the mood disorder and the underlying substance use. Clinicians must document the specific substances used, the severity of the mood disorder, and any withdrawal symptoms to ensure accurate coding and appropriate treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of psychoactive substances that can be involved
  • Need for detailed documentation of mood disorder symptoms
  • Differentiation from primary mood disorders
  • Potential for co-occurring disorders

Audit Risk Factors

  • Inadequate documentation of substance use history
  • Failure to specify the mood disorder symptoms
  • Misclassification of primary vs. substance-induced mood disorders
  • Lack of evidence for treatment provided

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Comprehensive mental health evaluation, including substance use history and mood disorder assessment.

Common Clinical Scenarios

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

Billing Considerations

Ensure clear documentation of the relationship between substance use and mood symptoms.

Addiction Medicine

Documentation Requirements

Detailed substance use history, including types, amounts, and duration of use.

Common Clinical Scenarios

Patients undergoing detoxification with concurrent mood disorders.

Billing Considerations

Focus on the impact of substance use on mood and the need for integrated treatment plans.

Coding Guidelines

Inclusion Criteria

Use F19.94 When
  • According to ICD
  • 10 guidelines, F19
  • 94 should be used when a patient exhibits symptoms of a mood disorder directly related to the use of unspecified psychoactive substances
  • Documentation must support the diagnosis, including the type of substance used and the mood disorder's severity

Exclusion Criteria

Do NOT use F19.94 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 and treatment recommendations.

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 specific coding of substance use disorders, including the ability to capture the nuances of mood disorders induced by substance use, which enhances treatment planning and outcomes.

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 induced by substance use, which enhances treatment planning and outcomes.

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 induced by substance use, which enhances treatment planning and outcomes.

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 F19.94 and F19.93?

F19.94 includes a mood disorder induced by substance use, while F19.93 refers to other psychoactive substance use without specifying a mood disorder.