F19.20 — Other psychoactive substance dependence, uncomplicated
Is F19.20 billable?
Yes — F19.20 is billable for FY2027. F19.20 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. F19.20 may be submitted for encounters from October 1, 2026 through September 30, 2027.
F19.20 at a glance
| Code | F19.20 |
|---|---|
| Description | Other psychoactive substance dependence, uncomplicated |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does F19.20 group to?
F19.20 sits in MDC 20 and helps define the logic of 4 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 894Alcohol, Drug Abuse or Dependence, Left AMAmedical
- 895Alcohol, Drug Abuse or Dependence with Rehabilitation Therapymedical
- 896Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCCmedical
- 897Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCCmedical
As a secondary diagnosis, F19.20 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is F19.20 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to F19.20. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Addiction
- Dependence (on) (syndrome)
- Dependence › combinations of drugs (on) (syndrome)
- Dependence › drug NEC (on) (syndrome)
- Dependence › nitrous oxide (on) (syndrome)
- Dependence › polysubstance (on) (syndrome)
- Dependence › drug NEC › psychoactive NEC (on) (syndrome)
- Dependence › ethyl › carbamate (on) (syndrome)
- Dependence › ethyl › chloride (on) (syndrome)
- Disorder › substance use › moderate or severe (of)
Inclusion terms
Alternative wording in documentation that is classified to F19.20.
- Other (or unknown) substance use disorder, moderate
- Other (or unknown) substance use disorder, severe
Excludes1 — never code together — inherited from F19.2
The conditions below can never be reported together with F19.20 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 5
The conditions below are not part of F19.20, but a patient may have both at the same time. When documentation supports it, F19.20 and the excluded code may both be reported.
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
How long has F19.20 existed?
F19.20 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which conditions are coded to F19.20?
What other codes are in the F19.2 family? (9)
- F19.21Other psychoactive substance dependence, in remission
- F19.22Other psychoactive substance dependence with intoxicationnot billable
- F19.23Other psychoactive substance dependence with withdrawalnot billable
- F19.24Other psychoactive substance dependence with psychoactive substance-induced mood disorder
- F19.25Other psychoactive substance dependence with psychoactive substance-induced psychotic disordernot billable
- F19.26Other psychoactive substance dependence with psychoactive substance-induced persisting amnestic disorder
- F19.27Other psychoactive substance dependence with psychoactive substance-induced persisting dementia
- F19.28Other psychoactive substance dependence with other psychoactive substance-induced disordersnot billable
- F19.29Other psychoactive substance dependence with unspecified psychoactive substance-induced disorder