F55.8

F55.8: Abuse of other non-psychoactive substances

Billable / specific codeICD-10-CM

F55.8 is a billable, specific ICD-10-CM code for abuse of other non-psychoactive substances. It is valid for submission on a claim.

Check F55.8 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above F55.8

Not part of this code, but both may be coded when both are present.

Written on F55: Abuse of non-psychoactive substances

abuse of psychoactive substances (F10-F19)

Risk adjustment

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

Medicare coverage

F55.8 is named in 18 Medicare coverage policies: 16 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
A54799Billing and Coding: Urine Drug Testing
A55001Billing and Coding: Urine Drug Testing

Alphabetic index entries that lead here

Abuse›analgesics(non-prescribed) (over the counter)
Abuse›non-psychoactive substance NEC
Dependence›analgesic NEC
Salicylism›abuse
Abuse›drug NEC›analgesics(non-prescribed) (over the counter)

Code history

Unchanged in every release from FY2024 to FY2027.