ICD-10 · PDGM grouping
F19 Other psychoactive substance related disorders
All 63 codes in the F19 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
63
Can lead a claim
61
Cannot lead a claim
2
What CMS assigns to F19
61 of the 63 codes group to Behavioral Health; 2 are assigned no clinical group. 5 of the 63 count toward the Mental and Behavioral Disorders Due to Psychoactive Substance Abuse comorbidity subgroup; 58 are assigned none. 61 of the 63 can lead a claim.
- Mental and Behavioral Disorders Due to Psychoactive Substance Abuse
Every code in F19
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| F19.1 Other psychoactive substance abuse | ||||
| F19.10 | Other psychoactive substance abuse, uncomplicated | Can lead a claim | F | None |
| F19.11 | Other psychoactive substance abuse, in remission | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| F19.12 Other psychoactive substance abuse with intoxication | ||||
| F19.120 | Other psychoactive substance abuse with intoxication, uncomplicatedCMS: Oth psychoactive substance abuse w intoxication, uncomp | Can lead a claim | F | None |
| F19.121 | Other psychoactive substance abuse with intoxication deliriumCMS: Oth psychoactive substance abuse with intoxication delirium | Can lead a claim | F | None |
| F19.122 | Other psychoactive substance abuse with intoxication with perceptual disturbancesCMS: Oth psychoactv substance abuse w intox w perceptual disturb | Can lead a claim | F | None |
| F19.129 | Other psychoactive substance abuse with intoxication, unspecifiedCMS: Other psychoactive substance abuse with intoxication, unsp | Can lead a claim | F | None |
| F19.13 Other psychoactive substance abuse with withdrawal | ||||
| F19.130 | Other psychoactive substance abuse with withdrawal, uncomplicatedCMS: Other psychoactive substance abuse with withdrawal, uncomp | Can lead a claim | F | Mental and Behavioral Disorders Due to Psychoactive Substance Abuse |
| F19.131 | Other psychoactive substance abuse with withdrawal delirium | Can lead a claim | F | Mental and Behavioral Disorders Due to Psychoactive Substance Abuse |
| F19.132 | Other psychoactive substance abuse with withdrawal with perceptual disturbanceCMS: Other psychoactv sub abuse with w/drawal w perceptl disturb | Can lead a claim | F | Mental and Behavioral Disorders Due to Psychoactive Substance Abuse |
| F19.139 | Other psychoactive substance abuse with withdrawal, unspecifiedCMS: Other psychoactv substance abuse with withdrawal, unsp | Can lead a claim | F | Mental and Behavioral Disorders Due to Psychoactive Substance Abuse |
| F19.14 | Other psychoactive substance abuse with psychoactive substance-induced mood disorderCMS: Oth psychoactive substance abuse w mood disorder | Can lead a claim | F | None |
| F19.15 Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder | ||||
| F19.150 | Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with delusionsCMS: Oth psychoactv substance abuse w psych disorder w delusions | Can lead a claim | F | None |
| F19.151 | Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with hallucinationsCMS: Oth psychoactv substance abuse w psych disorder w hallucin | Can lead a claim | F | None |
| F19.159 | Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder, unspecifiedCMS: Oth psychoactive substance abuse w psychotic disorder, unsp | Can lead a claim | F | None |
| F19.16 | Other psychoactive substance abuse with psychoactive substance-induced persisting amnestic disorderCMS: Oth psychoactv substance abuse w persist amnestic disorder | Can lead a claim | F | None |
| F19.17 | Other psychoactive substance abuse with psychoactive substance-induced persisting dementiaCMS: Oth psychoactive substance abuse w persisting dementia | Can lead a claim | F | None |
| F19.18 Other psychoactive substance abuse with other psychoactive substance-induced disorders | ||||
| F19.180 | Other psychoactive substance abuse with psychoactive substance-induced anxiety disorderCMS: Oth psychoactive substance abuse w anxiety disorder | Can lead a claim | F | None |
| F19.181 | Other psychoactive substance abuse with psychoactive substance-induced sexual dysfunctionCMS: Oth psychoactive substance abuse w sexual dysfunction | Can lead a claim | F | None |
| F19.182 | Other psychoactive substance abuse with psychoactive substance-induced sleep disorderCMS: Oth psychoactive substance abuse w sleep disorder | Can lead a claim | F | None |
| F19.188 | Other psychoactive substance abuse with other psychoactive substance-induced disorderCMS: Oth psychoactive substance abuse w oth disorder | Can lead a claim | F | None |
| F19.19 | Other psychoactive substance abuse with unspecified psychoactive substance-induced disorderCMS: Oth psychoactive substance abuse w unsp disorder | Can lead a claim | F | None |
| F19.2 Other psychoactive substance dependence | ||||
| F19.20 | Other psychoactive substance dependence, uncomplicated | Can lead a claim | F | Mental and Behavioral Disorders Due to Psychoactive Substance Abuse |
| F19.21 | Other psychoactive substance dependence, in remission | Can lead a claim | F | None |
| F19.22 Other psychoactive substance dependence with intoxication | ||||
| F19.220 | Other psychoactive substance dependence with intoxication, uncomplicatedCMS: Oth psychoactive substance dependence w intoxication, uncomp | Can lead a claim | F | None |
| F19.221 | Other psychoactive substance dependence with intoxication deliriumCMS: Oth psychoactive substance dependence w intox delirium | Can lead a claim | F | None |
| F19.222 | Other psychoactive substance dependence with intoxication with perceptual disturbanceCMS: Oth psychoactv substance depend w intox w perceptual disturb | Can lead a claim | F | None |
| F19.229 | Other psychoactive substance dependence with intoxication, unspecifiedCMS: Oth psychoactive substance dependence w intoxication, unsp | Can lead a claim | F | None |
| F19.23 Other psychoactive substance dependence with withdrawal | ||||
| F19.230 | Other psychoactive substance dependence with withdrawal, uncomplicatedCMS: Oth psychoactive substance dependence w withdrawal, uncomp | Can lead a claim | F | None |
| F19.231 | Other psychoactive substance dependence with withdrawal deliriumCMS: Oth psychoactive substance dependence w withdrawal delirium | Can lead a claim | F | None |
| F19.232 | Other psychoactive substance dependence with withdrawal with perceptual disturbanceCMS: Oth psychoactv sub depend w w/drawal w perceptl disturb | Can lead a claim | F | None |
| F19.239 | Other psychoactive substance dependence with withdrawal, unspecifiedCMS: Oth psychoactive substance dependence with withdrawal, unsp | Can lead a claim | F | None |
| F19.24 | Other psychoactive substance dependence with psychoactive substance-induced mood disorderCMS: Oth psychoactive substance dependence w mood disorder | Can lead a claim | F | None |
| F19.25 Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder | ||||
| F19.250 | Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with delusionsCMS: Oth psychoactv substance depend w psych disorder w delusions | Can lead a claim | F | None |
| F19.251 | Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with hallucinationsCMS: Oth psychoactv substance depend w psych disorder w hallucin | Can lead a claim | F | None |
| F19.259 | Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder, unspecifiedCMS: Oth psychoactv substance depend w psychotic disorder, unsp | Can lead a claim | F | None |
| F19.26 | Other psychoactive substance dependence with psychoactive substance-induced persisting amnestic disorderCMS: Oth psychoactv substance depend w persist amnestic disorder | Can lead a claim | F | None |
| F19.27 | Other psychoactive substance dependence with psychoactive substance-induced persisting dementiaCMS: Oth psychoactive substance dependence w persisting dementia | Can lead a claim | F | None |
| F19.28 Other psychoactive substance dependence with other psychoactive substance-induced disorders | ||||
| F19.280 | Other psychoactive substance dependence with psychoactive substance-induced anxiety disorderCMS: Oth psychoactive substance dependence w anxiety disorder | Can lead a claim | F | None |
| F19.281 | Other psychoactive substance dependence with psychoactive substance-induced sexual dysfunctionCMS: Oth psychoactive substance dependence w sexual dysfunction | Can lead a claim | F | None |
| F19.282 | Other psychoactive substance dependence with psychoactive substance-induced sleep disorderCMS: Oth psychoactive substance dependence w sleep disorder | Can lead a claim | F | None |
| F19.288 | Other psychoactive substance dependence with other psychoactive substance-induced disorderCMS: Oth psychoactive substance dependence w oth disorder | Can lead a claim | F | None |
| F19.29 | Other psychoactive substance dependence with unspecified psychoactive substance-induced disorderCMS: Oth psychoactive substance dependence w unsp disorder | Can lead a claim | F | None |
| F19.9 Other psychoactive substance use, unspecified | ||||
| F19.90 | Other psychoactive substance use, unspecified, uncomplicated | Can lead a claim | F | None |
| F19.91 | Other psychoactive substance use, unspecified, in remission | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| F19.92 Other psychoactive substance use, unspecified with intoxication | ||||
| F19.920 | Other psychoactive substance use, unspecified with intoxication, uncomplicatedCMS: Oth psychoactive substance use, unsp w intoxication, uncomp | Can lead a claim | F | None |
| F19.921 | Other psychoactive substance use, unspecified with intoxication with deliriumCMS: Oth psychoactive substance use, unsp w intox w delirium | Can lead a claim | F | None |
| F19.922 | Other psychoactive substance use, unspecified with intoxication with perceptual disturbanceCMS: Oth psychoactv sub use, unsp w intox w perceptl disturb | Can lead a claim | F | None |
| F19.929 | Other psychoactive substance use, unspecified with intoxication, unspecifiedCMS: Oth psychoactive substance use, unsp with intoxication, unsp | Can lead a claim | F | None |
| F19.93 Other psychoactive substance use, unspecified with withdrawal | ||||
| F19.930 | Other psychoactive substance use, unspecified with withdrawal, uncomplicatedCMS: Oth psychoactive substance use, unsp w withdrawal, uncomp | Can lead a claim | F | None |
| F19.931 | Other psychoactive substance use, unspecified with withdrawal deliriumCMS: Oth psychoactive substance use, unsp w withdrawal delirium | Can lead a claim | F | None |
| F19.932 | Other psychoactive substance use, unspecified with withdrawal with perceptual disturbanceCMS: Oth psychoactv sub use, unsp w w/drawal w perceptl disturb | Can lead a claim | F | None |
| F19.939 | Other psychoactive substance use, unspecified with withdrawal, unspecifiedCMS: Other psychoactive substance use, unsp with withdrawal, unsp | Can lead a claim | F | None |
| F19.94 | Other psychoactive substance use, unspecified with psychoactive substance-induced mood disorderCMS: Oth psychoactive substance use, unsp w mood disorder | Can lead a claim | F | None |
| F19.95 Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder | ||||
| F19.950 | Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with delusionsCMS: Oth psychoactv sub use, unsp w psych disorder w delusions | Can lead a claim | F | None |
| F19.951 | Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder with hallucinationsCMS: Oth psychoactv sub use, unsp w psych disorder w hallucin | Can lead a claim | F | None |
| F19.959 | Other psychoactive substance use, unspecified with psychoactive substance-induced psychotic disorder, unspecifiedCMS: Oth psychoactv substance use, unsp w psych disorder, unsp | Can lead a claim | F | None |
| F19.96 | Other psychoactive substance use, unspecified with psychoactive substance-induced persisting amnestic disorderCMS: Oth psychoactv sub use, unsp w persist amnestic disorder | Can lead a claim | F | None |
| F19.97 | Other psychoactive substance use, unspecified with psychoactive substance-induced persisting dementiaCMS: Oth psychoactive substance use, unsp w persisting dementia | Can lead a claim | F | None |
| F19.98 Other psychoactive substance use, unspecified with other psychoactive substance-induced disorders | ||||
| F19.980 | Other psychoactive substance use, unspecified with psychoactive substance-induced anxiety disorderCMS: Oth psychoactive substance use, unsp w anxiety disorder | Can lead a claim | F | None |
| F19.981 | Other psychoactive substance use, unspecified with psychoactive substance-induced sexual dysfunctionCMS: Oth psychoactive substance use, unsp w sexual dysfunction | Can lead a claim | F | None |
| F19.982 | Other psychoactive substance use, unspecified with psychoactive substance-induced sleep disorderCMS: Oth psychoactive substance use, unsp w sleep disorder | Can lead a claim | F | None |
| F19.988 | Other psychoactive substance use, unspecified with other psychoactive substance-induced disorderCMS: Oth psychoactive substance use, unsp w oth disorder | Can lead a claim | F | None |
| F19.99 | Other psychoactive substance use, unspecified with unspecified psychoactive substance-induced disorderCMS: Oth psychoactive substance use, unsp w unsp disorder | Can lead a claim | F | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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