F19.94 — Other psychoactive substance use, unspecified with psychoactive substance-induced mood disorder
Is F19.94 billable?
Yes, but F19.94 is an unspecified code. F19.94 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, F19.94 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting F19.94 — the more specific alternatives are listed below.
More specific alternatives
- F19.90Other psychoactive substance use, unspecified, uncomplicated
- F19.91Other psychoactive substance use, unspecified, in remission
- F19.92Other psychoactive substance use, unspecified with intoxicationnot billable
- F19.93Other psychoactive substance use, unspecified with withdrawalnot billable
- F19.95Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disordernot billable
- 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 disordersnot billable
- F19.99Other psychoactive substance use, unspecified with unspecified psychoactive substance-induced disorder
F19.94 at a glance
| Code | F19.94 |
|---|---|
| Description | Other psychoactive substance use, unspecified with psychoactive substance-induced mood disorder |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does F19.94 group to?
F19.94 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
How is F19.94 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to F19.94. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Substance-induced › bipolar and related disorder (other psychoactive)
- Substance-induced › depressive disorder (other psychoactive)
- Disorder › mood › due to › psychoactive substance NEC (of)
- Use › psychoactive drug NEC › with › mood disorder (of)
Inclusion terms
Alternative wording in documentation that is classified to F19.94.
- Other (or unknown) substance-induced bipolar or related disorder, without use disorder
- Other (or unknown) substance-induced depressive disorder, without use disorder
Excludes1 — never code together — inherited from F19.9
The conditions below can never be reported together with F19.94 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 F19.94, but a patient may have both at the same time. When documentation supports it, F19.94 and the excluded code may both be reported.
- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
How long has F19.94 existed?
F19.94 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.
What other codes are in the F19.9 family? (9)
- F19.90Other psychoactive substance use, unspecified, uncomplicated
- F19.91Other psychoactive substance use, unspecified, in remission
- F19.92Other psychoactive substance use, unspecified with intoxicationnot billable
- F19.93Other psychoactive substance use, unspecified with withdrawalnot billable
- F19.95Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disordernot billable
- 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 disordersnot billable
- F19.99Other psychoactive substance use, unspecified with unspecified psychoactive substance-induced disorder