ICD Code F19.20

ICD code F19.20 is used to classify a diagnosis of dependence on a psychoactive substance that is not specified elsewhere, without any accompanying complications such as withdrawal symptoms, delirium, or other mental or behavioral disorders. This code is part of the ICD-10-CM classification system, which is used by healthcare providers to document and report diagnoses for billing and statistical purposes.

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

1. Substance Use: The individual has a pattern of using a psychoactive substance that is not classified under specific categories like alcohol, opioids, cannabis, etc.

2. Dependence Symptoms: The individual exhibits signs of dependence, which may include:
- A strong desire or sense of compulsion to take the substance.
- Difficulties in controlling substance-taking behavior in terms of its onset, termination, or levels of use.

3. Tolerance: There is evidence of tolerance, such as the need for significantly increased amounts of the substance to achieve intoxication or the desired effect, or a markedly diminished effect with continued use of the same amount.

4. Withdrawal Symptoms: The individual may experience withdrawal symptoms when the substance use is reduced or stopped, although these symptoms are not complicated by other medical or psychiatric conditions.

5. Neglect of Alternative Pleasures or Interests: The individual gives up or reduces important social, occupational, or recreational activities because of substance use.

6. Continued Use Despite Harm: The individual continues to use the substance despite clear evidence of harmful consequences, such as physical or psychological problems that are likely to have been caused or exacerbated by the substance.

7. Time Spent: A great deal of time is spent in activities necessary to obtain, use, or recover from the effects of the substance.

8. Unsuccessful Attempts to Cut Down: There have been unsuccessful efforts to cut down or control substance use.

These criteria should be assessed in the context of a comprehensive clinical evaluation to determine the appropriateness of using this specific ICD code.

For the ICD code F19.20, which pertains to other psychoactive substance dependence, uncomplicated, the relevant CPT codes that may be applicable for treatment include:

1. 99201-99215: Evaluation and Management (E/M) services, which cover office or other outpatient visits for the evaluation and management of a patient. The specific code within this range would depend on the complexity and time spent on the visit.

2. 90832-90838: Psychotherapy codes, which are used for individual psychotherapy sessions. The specific code is determined by the duration of the session (e.g., 30, 45, or 60 minutes) and whether it is conducted with or without an E/M service.

3. H0001: Alcohol and/or drug assessment, which involves a comprehensive assessment of the patient’s substance use and related issues.

4. H0004: Behavioral health counseling and therapy, which includes individual counseling sessions aimed at addressing substance dependence.

5. H0035: Mental health partial hospitalization, which provides intensive outpatient services for individuals with substance dependence issues.

6. H0047: Alcohol and/or other drug abuse services, not otherwise specified, which can be used for various treatment services related to substance dependence.

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

These CPT codes are commonly used in the treatment of psychoactive substance dependence and should be selected based on the specific services provided to the patient. Always ensure to verify with the latest coding guidelines and payer policies for accurate billing.

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