F19.90

F19.90: Other psychoactive substance use, unspecified, uncomplicated

Billable / specific codeICD-10-CM

F19.90 is a billable, specific ICD-10-CM code for other psychoactive substance use, unspecified, uncomplicated. It is valid for submission on a claim.

Check F19.90 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above F19.90

A category’s note binds every code beneath it.

Written on F19.9: Other psychoactive substance use, unspecified

other psychoactive substance abuse (F19.1-)
other psychoactive substance dependence (F19.2-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

F19.90 is named in 7 Medicare coverage policies: 6 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
A56818Billing and Coding: Urine Drug Testing
A57130Billing and Coding: Psychiatric Codes

Alphabetic index entries that lead here

Use›drug NEC(s)
Use›nonprescribed drugs
Use›patent medicines
Use›psychoactive drug NEC

Code history

Unchanged in every release from FY2024 to FY2027.