Coding and coverage · ICD-10-CM

F19 › F19.1

F19.10 Other psychoactive substance abuse, uncomplicated

BillableCMS-HCC V28: HCC 138Chapter 5
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Instructional notes

Chapter 5

Excludes2Not included here: the patient may have both; report both when both are present.
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Includes
  • disorders of psychological development

F19

Includes
  • polysubstance drug use (indiscriminate drug use)

F19.1

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • other psychoactive substance dependence (F19.2-)
  • other psychoactive substance use, unspecified (F19.9-)

This code

Inclusion terms
  • Other (or unknown) substance use disorder, mild

Chapter 5: Mental, Behavioral and Neurodevelopmental disorders · F10-F19 Mental and behavioral disorders due to psychoactive substance use (F10-F19)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.