icd 9 and 10 code for substance related hospitalizations

by Ms. Abigayle Zemlak MD 9 min read

What is the ICD 10 code for substance use disorder?

Substance use disorders and ICD-10-CM coding. Substance use codes in ICD-10-CM follow the format F1x.xxx. The letter F indicates that the code is from Chapter 5: Mental, Behavioral and Neurodevelopmental Disorders, of ICD-10-CM and the numeral 1 indicates a mental or behavioral disorder due to psychoactive substance use.

What is the ICD-10 code for drug poisoning?

The ICD-10 code description includes the phrase ‘poisoning by or harmful use of medication or other causes’ X44 Accidental poisoning by, and exposure to, other and unspecified drugs, medicaments and biological substances C Adverse drug event deemed to be very likely although the ICD-10 code description does not refer to a drug

What are the C-prefixes in ICD 10?

C-prefixes are codes that were introduced in the Victorian addition of the Australian Modification of ICD-10. ivThe difference in the number of codes used by Stausberg et al. has to do with the splitting of code E66.1 (in ICD-10-German Modification 2006) into the four codes: E66.10, E66.11, E66.12 and E66.19 (in ICD-10-German Modification 2008).

What does ICD-9 stand for?

The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) is based on the World Health Organization's Ninth Revision, International Classification of Diseases (ICD-9). ICD-9-CM is the official system of assigning codes to diagnoses and procedures associated with hospital utilization in the United States.

What is the ICD 9 code for substance abuse?

ICD-9-CM codes: 291 (alcoholic psychoses), 292 (drug psychoses), 303 (alcohol dependence), 304 (drug dependence), or 305 (nondependent abuse of drugs); OR.

What is the ICD-10 code for substance abuse?

10 for Other psychoactive substance abuse, uncomplicated is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .

What is the ICD-10 code for history of substance abuse?

The 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).

What is the CPT code for substance abuse?

The two new codes, 99408 and 99409, will standardize and streamline reporting and reimbursement for physicians who perform alcohol or non-tobacco substance abuse SBI. Sample questions from the drug abuse screening test include: Can you get through the week without using drugs?

What is the diagnosis for substance abuse?

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.

What is the ICD-10 code for substance abuse in remission?

ICD-10 code F19. 11 for Other psychoactive substance abuse, in remission is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .

What is the ICD-10 code for opioid dependence?

ICD-10 code F11. 20 for Opioid dependence, uncomplicated is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .

What is psychoactive substance use?

Listen to pronunciation. (SY-koh-AK-tiv SUB-stunts) A drug or other substance that affects how the brain works and causes changes in mood, awareness, thoughts, feelings, or behavior. Examples of psychoactive substances include alcohol, caffeine, nicotine, marijuana, and certain pain medicines.

What does EtOH stand for?

Consider the term EtOH. This term is derived from the chemical abbreviation for ethyl alcohol, and it's used as a synonym for alcoholic beverages.

What is CPT code H0049?

H0049 is a valid 2022 HCPCS code for Alcohol and/or drug screening or just “Alcohol/drug screening” for short, used in Other medical items or services.

What is CPT code H0006?

HCPCS code H0006 for Alcohol and/or drug services; case management as maintained by CMS falls under Drug, Alcohol, and Behavioral Health Services .

What is CPT code H0020?

Billing and Reimbursement Providers should bill one unit of Healthcare Common Procedure Coding System (HCPCS) code H0020 – Alcohol and/ or drug services; methadone administration and/or service (provision of the drug by a licensed program), for each day a member presents for treatment.

Code 1

1This information is made available free to the public by the Centers for Disease Control and Prevention and can be accessed online.

Code 1

1This information is made available free to the public by the Centers for Disease Control and Prevention and can be accessed online. 2These specifiers differ for nicotine dependence. See full code set.

Cause of Injury Definition Codes

  • The SAC Branch developed these groups by making modest changes to CDC's recommended cause groupings for ICD-9 and ICD-10. See CDC's webpages on ICD-9 and ICD-10codes for additional information on CDC's cause definitions.
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Special Definitions Used in Selected Injury Topics

  • These are definitions and criteria used in the Selected Injury Topicssection of EpiCenter that are used independently of the detailed cause of injury codes. (For example, "Motor Vehicle Traffic-Drivers Only" is a subset of a single category.)
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Categories and Icd Codes Used in Alcohol/Drug Consequences Query

  • These are the categories and ICD codes used in the Alcohol/Drug Consequences section of EpiCenter. For additional information, please email SACB at sac@cdph.ca.gov​
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