F19.129 — Other psychoactive substance abuse with intoxication, unspecified
F19.129 is a billable, specific ICD-10-CM code for other psychoactive substance abuse with intoxication, unspecified. It is valid for submission on a claim.
Risk adjustment
F19.129 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 137 Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications0.424 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
F19.129 is named in 9 Medicare coverage policies — 7 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56562Billing and Coding: Health and Behavior Assessment/Interventionnot covered
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
- A56756Billing and Coding: Home Health - Psychiatric Care
How F19.129 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F19.129.
- Disorder›substance use›mild›substance intoxication
- Abuse›drug NEC›psychoactive NEC›with›intoxication
Related codes at this level
Codes that share F19.12. If F19.129 is not quite right, the correct code is usually one of these.
Questions about F19.129
- Is F19.129 a billable ICD-10-CM code?
- Yes. F19.129 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F19.129 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).