ICD Code F19.10

ICD code F19.10 is used to classify cases where an individual is abusing a psychoactive substance that does not fall under the categories of alcohol, opioids, cannabis, sedatives, hypnotics, cocaine, or other specified substances. The term "uncomplicated" indicates that the abuse is not accompanied by any additional complications such as withdrawal symptoms, delirium, or other substance-induced disorders. This code helps healthcare providers document and track cases of substance abuse that involve less common or unspecified psychoactive substances, facilitating appropriate treatment and management.

When considering the use of the ICD code for "Other psychoactive substance abuse, uncomplicated," healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Recurrent Substance Use: The individual engages in the use of a psychoactive substance that is not classified under specific categories like alcohol, opioids, cannabis, etc., on a recurrent basis.

2. Failure to Fulfill Major Obligations: The substance use results in a failure to meet important responsibilities at work, school, or home.

3. Use in Hazardous Situations: The individual uses the substance in situations that are physically dangerous, such as driving or operating machinery.

4. Legal Problems: There are recurrent legal issues related to substance use, such as arrests for disorderly conduct or driving under the influence.

5. Interpersonal Problems: Continued use of the substance despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of the substance.

6. Absence of Dependence: The individual does not meet the criteria for substance dependence, meaning there is no evidence of tolerance, withdrawal, or compulsive use patterns.

7. No Significant Medical or Psychiatric Complications: The substance use does not result in significant medical or psychiatric complications, distinguishing it from more severe substance use disorders.

These criteria help ensure that the diagnosis is accurately applied to individuals whose substance use is problematic but does not meet the threshold for dependence or more severe complications.

For the ICD code F19.10, which pertains to other psychoactive substance abuse, uncomplicated, the relevant CPT codes that may be applicable for treatment and management include:

1. 99201-99215 - Evaluation and Management (E/M) services for new or established patients, which may include office or other outpatient visits.

2. 90832-90838 - Psychotherapy services, which can be provided in various session lengths (30, 45, or 60 minutes) and may be conducted with or without an E/M service.

3. H0001 - Alcohol and/or drug assessment, which involves a comprehensive evaluation of the patient's substance use.

4. H0004 - Behavioral health counseling and therapy, which may be used for individual therapy sessions.

5. H0038 - Self-help/peer services, which can be part of a comprehensive treatment plan for substance abuse.

6. G0396-G0397 - Alcohol and/or substance abuse structured assessment and intervention services, which are typically used for brief interventions.

7. 99408-99409 - Alcohol and/or substance abuse structured screening and brief intervention services, which are used for identifying and addressing substance use issues.

These CPT codes are used to document and bill for the various services that healthcare providers may offer to patients with the ICD code F19.10. It is important for providers to select the appropriate CPT code based on the specific services rendered and the clinical context.

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