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F19.132

F19.132Other psychoactive substance abuse with withdrawal with perceptual disturbance

Billable / specific codeICD-10-CM

F19.132 is a billable, specific ICD-10-CM code for other psychoactive substance abuse with withdrawal with perceptual disturbance. It is valid for submission on a claim.

Risk adjustment

F19.132 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

  • HCC 135 Drug Use with 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

F19.132 is named in 22 Medicare coverage policies 20 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
  • A54799Billing and Coding: Urine Drug Testing
  • A56614Billing and Coding: Psychiatric Inpatient Hospitalization

How F19.132 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 F19.132.

  • Abusedrug NECpsychoactive NECwithwithdrawalwithperceptual disturbance

Related codes at this level

Codes that share F19.13. If F19.132 is not quite right, the correct code is usually one of these.

Questions about F19.132

Is F19.132 a billable ICD-10-CM code?
Yes. F19.132 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does F19.132 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).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.