Substance abuse codes in the "Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition" include F10.10 and F10.20 for alcohol use disorder, depending on symptoms present, and F15.929 for caffeine intoxication, states Clinical Tools, Inc. Other substance abuse codes include F18.10 and F18.20 for inhalant use disorder, depending on symptoms.
Why ICD-10 codes are important
What are DSM-5 codes? F00–F09 — organic, including symptomatic, mental disorders. F10–F19 — mental and behavioral disorders due to psychoactive substance abuse. F20–F29 — schizophrenia, schizotypal, and delusional disorders.
Drug abuse counseling and surveillance of drug abuser ICD-10-CM Diagnosis Code T41.1 Poisoning by, adverse effect of and underdosing of intravenous anesthetics Intravenous anesthetics; Poisoning by, adverse effect of and underdosing of thiobarbiturates ICD-10-CM Diagnosis Code T41.1X2S [convert to ICD-9-CM] DA: 59 PA: 55 MOZ Rank: 22. What is ...
Z86.4The ICD-10 code Z86. 4 applies to cases where there is "a personal history of psychoactive substance abuse" (drugs or alcohol or tobacco) but specifically excludes current dependence (F10 - F19 codes with the fourth digit of 2).
Diagnosing drug addiction (substance use disorder) requires a thorough evaluation and often includes an assessment by a psychiatrist, a psychologist, or a licensed alcohol and drug counselor. Blood, urine or other lab tests are used to assess drug use, but they're not a diagnostic test for addiction.
Types of Substance Use DisordersOpioid Use Disorder.Marijuana Use Disorder.Nicotine Use Disorder.Stimulant Use Disorder.Sedative Use Disorder.Hallucinogen Use Disorder.Alcohol Use Disorder.
Whereas mild substance use disorder continues to be F1x. 10, moderate substance use disorder continues to be F1x. 20, and severe substance use disorder continues to be F1x. 20, mild substance use disorder in remission is now coded as F1x.
This hierarchy is included in the ICD-10-CM guidelines for Chapter 5 (Mental, Behavioral and Neurodevelopmental Disorders), section b.2:
If a patient presents with abuse in remission and dependence in remission, code for the dependence in remission. If you are unsure, query the provider, as these are particularly sensitive codes.
Psychiatrists, psychologists, and licensed drug counselors are often involved in the evaluation process for diagnosing alcoholism, drug addiction, or other substance use disorders. Testing blood, urine, or other tests can assess drug use but not a diagnostic test for addiction. These tests can help monitor recovery as well as treatment.
ICD-10-CM uses the format F1x.xxx for substance use codes. In ICD-10-CM, the letter F indicates that the code belongs to Chapter 5: Mental, Behavioral, and Neurodevelopmental Disorders. Furthermore, the number 1 represents a mental or behavioral disorder due to the use of psychoactive substances.