Skip to main content

F55.4 ICD-10-CM Code: Abuse of vitamins

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
1 Excludes2

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 894 — ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA (MDC 20)
  • MS-DRG 895 — ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY (MDC 20)
  • MS-DRG 896 — ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC (MDC 20)
  • MS-DRG 897 — ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC (MDC 20)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for F55.4 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on F55.4 itself; “inherited from” names the category or block whose note applies here.

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from F55

Coder workflow for F55.4

MedCoder structured workflow — derived from this code’s own official record

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).

Official instructions as workflow

  • Excludes2 — not part of F55.4(1 note)

    Coding workflow: The conditions named in this note are not included in F55.4. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    See the official tabular notes · Guidelines I.A.12.b

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse F55.4 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of F55.4 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • F10— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of abuse of psychoactive substances adds F10; it is not part of this code and both may be reported when both are documented.

    Full comparison: F55.4 vs F10 →

  • F19— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of abuse of psychoactive substances adds F19; it is not part of this code and both may be reported when both are documented.

    Full comparison: F55.4 vs F19 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Code Overview

Abuse of vitamins is a billable ICD-10-CM diagnosis code (F55.4).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (3)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name F55.4 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 21 Excludes2 notes: T36 — Poisoning by, adverse effect of and underdosing of systemic antibiotics (via F55.-), T36-T39 — Antibiotics & Anti-infectives (T36-T39) (via F55.-), T36-T50 — Poisoning by, adverse effects of and underdosing of drugs, medicaments and biological substances (T36-T50) (via F55.-), T37 — Poisoning by, adverse effect of and underdosing of other systemic anti-infectives and antiparasitics (via F55.-), T38 — Poisoning by, adverse effect of and underdosing of hormones and their synthetic substitutes and antagonists, not elsewhere classified (via F55.-), T39 — Poisoning by, adverse effect of and underdosing of nonopioid analgesics, antipyretics and antirheumatics (via F55.-), T40 — Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens] (via F55.-), T40-T41 — Analgesics & Antipyretics (T40-T41) (via F55.-), T41 — Poisoning by, adverse effect of and underdosing of anesthetics and therapeutic gases (via F55.-), T42 — Poisoning by, adverse effect of and underdosing of antiepileptic, sedative- hypnotic and antiparkinsonism drugs (via F55.-), T42-T43 — Anticonvulsants & Psychotropics (T42-T43) (via F55.-), T43 — Poisoning by, adverse effect of and underdosing of psychotropic drugs, not elsewhere classified (via F55.-), T44 — Poisoning by, adverse effect of and underdosing of drugs primarily affecting the autonomic nervous system (via F55.-), T44-T46 — Cardiovascular & Gastrointestinal (T44-T46) (via F55.-), T45 — Poisoning by, adverse effect of and underdosing of primarily systemic and hematological agents, not elsewhere classified (via F55.-), T46 — Poisoning by, adverse effect of and underdosing of agents primarily affecting the cardiovascular system (via F55.-), T47 — Poisoning by, adverse effect of and underdosing of agents primarily affecting the gastrointestinal system (via F55.-), T47-T50 — Hormones & Systemic Agents (T47-T50) (via F55.-), T48 — Poisoning by, adverse effect of and underdosing of agents primarily acting on smooth and skeletal muscles and the respiratory system (via F55.-), T49 — Poisoning by, adverse effect of and underdosing of topical agents primarily affecting skin and mucous membrane and by ophthalmological, otorhinorlaryngological and dental drugs (via F55.-), +1 more.

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 4 MS-DRGs: DRG 894 (MDC 20), DRG 895 (MDC 20), DRG 896 (MDC 20), DRG 897 (MDC 20).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):MBD013 — Miscellaneous mental and behavioral disorders/conditions (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Miscellaneous mental and behavioral disorders/conditions).

F52.4 — Premature ejaculation, F52.5 — Vaginismus not due to a substance or known physiological condition, F52.6 — Dyspareunia not due to a substance or known physiological condition, F52.8 — Other sexual dysfunction not due to a substance or known physiological condition, F52.9 — Unspecified sexual dysfunction not due to a substance or known physiological condition, F54 — Psychological and behavioral factors associated with disorders or diseases classified elsewhere, F55.0 — Abuse of antacids, F55.1 — Abuse of herbal or folk remedies, F55.2 — Abuse of laxatives, F55.3 — Abuse of steroids or hormones, F55.8 — Abuse of other non-psychoactive substances, F59 — Unspecified behavioral syndromes associated with physiological disturbances and physical factors, F63.0 — Pathological gambling, F64.0 — Transsexualism, F64.1 — Dual role transvestism, F64.2 — Gender identity disorder of childhood, F64.8 — Other gender identity disorders, F64.9 — Gender identity disorder, unspecified, F65.0 — Fetishism, F65.1 — Transvestic fetishism, +32 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Abuse”; these codes share that main term but sit in a different category of the Tabular List.

F19.122 — Other psychoactive substance abuse with intoxication with perceptual disturbances (drug NEC, psychoactive NEC, with, intoxication, with, perceptual disturbance), F19.129 — Other psychoactive substance abuse with intoxication, unspecified (drug NEC, psychoactive NEC, with, intoxication), F19.130 — Other psychoactive substance abuse with withdrawal, uncomplicated (drug NEC, psychoactive NEC, with, withdrawal, uncomplicated), F19.131 — Other psychoactive substance abuse with withdrawal delirium (drug NEC, psychoactive NEC, with, withdrawal, delirium), F19.132 — Other psychoactive substance abuse with withdrawal with perceptual disturbance (drug NEC, psychoactive NEC, with, withdrawal, with, perceptual disturbance), F19.139 — Other psychoactive substance abuse with withdrawal, unspecified (drug NEC, psychoactive NEC, with, withdrawal), F19.14 — Other psychoactive substance abuse with psychoactive substance-induced mood disorder (drug NEC, psychoactive NEC, with, mood disorder), F19.150 — Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with delusions (drug NEC, psychoactive NEC, with, psychosis, delusions), F19.151 — Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with hallucinations (drug NEC, psychoactive NEC, with, psychosis, hallucinations), F19.159 — Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder, unspecified (drug NEC, psychoactive NEC, with, psychosis), F19.16 — Other psychoactive substance abuse with psychoactive substance-induced persisting amnestic disorder (drug NEC, psychoactive NEC, with, amnestic disorder), F19.17 — Other psychoactive substance abuse with psychoactive substance-induced persisting dementia (drug NEC, psychoactive NEC, with, dementia), F19.180 — Other psychoactive substance abuse with psychoactive substance-induced anxiety disorder (drug NEC, psychoactive NEC, with, anxiety disorder), F19.181 — Other psychoactive substance abuse with psychoactive substance-induced sexual dysfunction (drug NEC, psychoactive NEC, with, sexual dysfunction), F19.182 — Other psychoactive substance abuse with psychoactive substance-induced sleep disorder (drug NEC, with sleep disorder), F19.188 — Other psychoactive substance abuse with other psychoactive substance-induced disorder (drug NEC, psychoactive NEC, with, other specified disorder), F19.19 — Other psychoactive substance abuse with unspecified psychoactive substance-induced disorder (drug NEC, psychoactive NEC, with, unspecified disorder), Z63.0 — Problems in relationship with spouse or partner (adult, as reason for, couple seeking advice), Z71.41 — Alcohol abuse counseling and surveillance of alcoholic (alcohol, counseling and surveillance), Z71.51 — Drug abuse counseling and surveillance of drug abuser (drug NEC, counseling and surveillance), +127 more

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Gamma-glutamyl Transferase (GGT) Test

Contextual Map

Every relationship of F55.4 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run F55.4 with these 8 related codes in Claim Check

Hierarchy

Referenced by Excludes2 notes (21)

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 20 — Alcohol or Drug Use or Induced Organic Mental Disorders[MDC crossing]: “Alcohol or Drug Use or Induced Organic Mental Disorders — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 35 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • Abuse, drug NEC (non-dependent), vitamins[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Abuse, non-psychoactive substance NEC, vitamins[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Abuse, vitamins[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027

Nearest codes

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "F55.4 — Abuse of vitamins." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/f55.4-abuse-of-vitamins

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Abuse of vitamins

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to F55.4 in its code family, with their registry titles.

View all codes in the F55 family