F19.92 — Other psychoactive substance use, unspecified with intoxication
F19.92 is a non-billable header ICD-10-CM code for other psychoactive substance use, unspecified with intoxication. 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 use, unspecified with withdrawal (F19.93)
Other codes that can never be billed with F19.92
These codes carry an Excludes1 note pointing at F19.92. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F19.92 alone.
- F19.93Other psychoactive substance use, unspecified with withdrawal
Risk adjustment
F19.92 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 F19.92
4 child codes. Green means billable.
- F19.920Other psychoactive substance use, unspecified with intoxication, uncomplicated
- F19.921Other psychoactive substance use, unspecified with intoxication with delirium
- F19.922Other psychoactive substance use, unspecified with intoxication with perceptual disturbance
- F19.929Other psychoactive substance use, unspecified with intoxication, unspecified
Related codes at this level
Codes that share F19.9. If F19.92 is not quite right, the correct code is usually one of these.
- F19.90Other psychoactive substance use, unspecified, uncomplicated
- F19.91Other psychoactive substance use, unspecified, in remission
- F19.93Other psychoactive substance use, unspecified with withdrawal
- F19.94Other psychoactive substance use, unspecified with psychoactive substance-induced mood disorder
- F19.95Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder
- F19.96Other psychoactive substance use, unspecified with psychoactive substance-induced persisting amnestic disorder
- F19.97Other psychoactive substance use, unspecified with psychoactive substance-induced persisting dementia
- F19.98Other psychoactive substance use, unspecified with other psychoactive substance-induced disorders
- F19.99Other psychoactive substance use, unspecified with unspecified psychoactive substance-induced disorder
Questions about F19.92
- Is F19.92 a billable ICD-10-CM code?
- No. F19.92 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does F19.92 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 F19.92?
- F19.92 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.