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F19.182

F19.182Other psychoactive substance abuse with psychoactive substance-induced sleep disorder

Billable / specific codeICD-10-CM

F19.182 is a billable, specific ICD-10-CM code for other psychoactive substance abuse with psychoactive substance-induced sleep disorder. It is valid for submission on a claim.

Other codes that can never be billed with F19.182

These codes carry an Excludes1 note pointing at F19.182. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F19.182 alone.

Risk adjustment

F19.182 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

F19.182 is named in 8 Medicare coverage policies 7 listing it as supporting medical necessity, and 1 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
  • A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
  • A56756Billing and Coding: Home Health - Psychiatric Care
  • A56818Billing and Coding: Urine Drug Testing

How F19.182 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 F19.182.

  • Abusedrug NECwith sleep disorder
  • Hypersomniadue todrug NECabuse
  • Hypersomniadue topsychoactive substance NECabuse
  • Insomniadue todrug NECabuse
  • Insomniadue topsychoactive substance NECabuse
  • Parasomniadue todrug NECabuse
  • Parasomniadue topsychoactive substance NECabuse
  • Abusedrug NECpsychoactive NECwithsleep disorder
  • Disordersleepdue todrug NECabuse
  • Disordersleepdue topsychoactive substance NECabuse
  • Disordersleepcircadian rhythmdue todrug NECabuse
  • Disordersleepcircadian rhythmdue topsychoactive substance NECabuse

Related codes at this level

Codes that share F19.18. If F19.182 is not quite right, the correct code is usually one of these.

Questions about F19.182

Is F19.182 a billable ICD-10-CM code?
Yes. F19.182 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does F19.182 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.