ICD-10-CM Billable Code

F19.122

Other psychoactive substance abuse with intoxication with perceptual disturbances

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 code F19.122 refers to a specific type of substance use disorder involving the abuse of psychoactive substances. This condition is characterized by intoxication accompanied by perceptual disturbances—alterations in perception that may affect sight, sound, or sensation. Such disturbances can significantly influence a person's mental state and daily functioning. Recognizing the features of this condition can help in understanding its impact and the importance of seeking appropriate support.

Causes & Symptoms

Clinical Causes: Use of psychoactive substances such as stimulants, hallucinogens, or other drugs that alter perception. Repeated substance misuse leading to dependency and increased risk of intoxication episodes. Environmental triggers or social settings that promote substance consumption. Psychological factors like stress, trauma, or mental health issues that may encourage substance use. Biological factors such as genetic predisposition that increase susceptibility to substance abuse.

Key Symptoms: Altered perception, including hallucinations or visual distortions. Changes in mood, such as euphoria, agitation, or anxiety. Impaired judgment and difficulty concentrating. Physical signs like increased heart rate, dilated pupils, or sweating. Disorientation or confusion during episodes of intoxication. Possible paranoia, delusional thoughts, or hallucinations. Dizziness, nausea, or other physical discomforts.

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a comprehensive clinical assessment by a healthcare professional, including a detailed history of substance use and a physical examination. Mental health evaluations may be conducted to identify perceptual disturbances and their severity. Laboratory tests, such as blood or urine screenings, may help confirm recent substance intake. The clinician will consider symptoms of intoxication and perceptual disturbances aligned with diagnostic criteria to establish the diagnosis.

Treatment Protocols: Detoxification programs to safely manage withdrawal symptoms. Psychotherapy, like cognitive-behavioral therapy (CBT), to address underlying behaviors and triggers. Medication-assisted treatments where appropriate, to reduce cravings or manage symptoms. Support groups and counseling to foster recovery and provide emotional support. Educational programs to inform about substance risks and promote healthy coping skills. Ongoing monitoring and follow-up care to prevent relapse.

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is F19.122 a billable ICD-10 code?
Yes, F19.122 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report F19.122?
Clinical documentation must specify the nature of Other psychoactive substance abuse with intoxication with perceptual disturbances and any associated comorbidities for accurate reporting.

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Clinical Meta Tags

substance disturbances psychoactive abuse intoxication perceptual