F19.1 vs F19.2
F19.1 (Other psychoactive substance abuse) compared with F19.2 (Other psychoactive substance dependence), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. F19.1 carries an Excludes1 note covering F19.2: “other psychoactive substance dependence (F19.2-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. F19.2 carries an Excludes1 note covering F19.1: “other psychoactive substance abuse (F19.1-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| F19.1Other psychoactive substance abuse | F19.2Other psychoactive substance dependence | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) |
| Definition | Other psychoactive substance abuse is a non-billable ICD-10-CM category code (F19.1). | Other psychoactive substance dependence is a non-billable ICD-10-CM category code (F19.2). |
| Includes | polysubstance drug use (indiscriminate drug use) | polysubstance drug use (indiscriminate drug use) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources