R78.5 — Finding of other psychotropic drug in blood
Is R78.5 billable?
Yes — R78.5 is billable for FY2027. R78.5 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. R78.5 may be submitted for encounters from October 1, 2026 through September 30, 2027.
R78.5 at a glance
| Code | R78.5 |
|---|---|
| Description | Finding of other psychotropic drug in blood |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does R78.5 group to?
R78.5 sits in MDC 23 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 947Signs and Symptoms with MCCmedical
- 948Signs and Symptoms without MCCmedical
How is R78.5 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to R78.5. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Findings, abnormal, inconclusive, without diagnosis › in blood › psychotropic drug
Use additional code — inherited from R78
Report an additional code alongside R78.5 to fully describe the condition. R78.5 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 18
The conditions below are not part of R78.5, but a patient may have both at the same time. When documentation supports it, R78.5 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R70-R79
The conditions below are not part of R78.5, but a patient may have both at the same time. When documentation supports it, R78.5 and the excluded code may both be reported.
- abnormal findings on antenatal screening of mother (O28.-)
- abnormalities of lipids (E78.-)
- abnormalities of platelets and thrombocytes (D69.-)
- abnormalities of white blood cells classified elsewhere (D70-D72)
- coagulation hemorrhagic disorders (D65-D68)
- diagnostic abnormal findings classified elsewhere - see Alphabetical Index
- hemorrhagic and hematological disorders of newborn (P50-P61)
Excludes2 — not included here — inherited from R78
The conditions below are not part of R78.5, but a patient may have both at the same time. When documentation supports it, R78.5 and the excluded code may both be reported.
- mental or behavioral disorders due to psychoactive substance use (F10-F19)
How long has R78.5 existed?
R78.5 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 R78 family? (9)
- R78.0Finding of alcohol in blood
- R78.1Finding of opiate drug in blood
- R78.2Finding of cocaine in blood
- R78.3Finding of hallucinogen in blood
- R78.4Finding of other drugs of addictive potential in blood
- R78.6Finding of steroid agent in blood
- R78.7Finding of abnormal level of heavy metals in bloodnot billable
- R78.8Finding of other specified substances, not normally found in bloodnot billable
- R78.9Finding of unspecified substance, not normally found in blood