Is F19.1 a billable ICD-10-CM code?

No. F19.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does F19.1 sit in the tabular list?

Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental and behavioral disorders due to psychoactive substance use (F10-F19).

What cannot be coded together with F19.1?

F19.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

F19.1

F19.1 — Other psychoactive substance abuse

Non-billable headerICD-10-CM

F19.1 is a non-billable header ICD-10-CM code for other psychoactive substance abuse. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

other psychoactive substance dependence (F19.2-)
other psychoactive substance use, unspecified (F19.9-)

Other codes that can never be billed with F19.1

These codes carry an Excludes1 note pointing at F19.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F19.1 alone.

G47.5Parasomnia
F19.2Other psychoactive substance dependence
F19.9Other psychoactive substance use, unspecified

Risk adjustment

F19.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead F19.1

10 child codes. Green means billable.

Related codes at this level

Codes that share F19. If F19.1 is not quite right, the correct code is usually one of these.

Questions about F19.1

Is F19.1 a billable ICD-10-CM code?: No. F19.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does F19.1 sit in the tabular list?: Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental and behavioral disorders due to psychoactive substance use (F10-F19).
What cannot be coded together with F19.1?: F19.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.