ICD-10-CM Billable Code

F19.981

Other psychoactive substance use, unspecified with psychoactive substance-induced sexual dysfunction

Clinical Classification Guidelines

Inclusion Terms

  • Other (or unknown) substance-induced sexual dysfunction, without use disorder

Medical Intelligence & Overview

ICD-10 code F19.981 refers to a condition where an individual experiences sexual dysfunction caused by the use of psychoactive substances, without having a substance use disorder. This means that the person has used substances that affect the mind and behavior, leading to difficulties with sexual function, but does not have a chronic problem with substance dependence or addiction. This condition highlights how certain substances can temporarily impact sexual health even in the absence of a formal substance use disorder diagnosis.

Causes & Symptoms

Clinical Causes: Use of psychoactive substances such as alcohol, recreational drugs, or certain medications that affect brain chemistry Temporary physiological or psychological effects of substances impairing sexual arousal or performance Situational or episodic substance consumption without ongoing dependence

Key Symptoms: Problems with sexual arousal or desire Difficulty achieving or maintaining an erection (in men) Challenges achieving orgasm or sexual satisfaction Closely related changes in sexual response during or shortly after substance use Possible emotional or psychological distress related to sexual function

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a comprehensive assessment by healthcare professionals, including detailed medical history, examination, and possibly laboratory testing. Clinicians will evaluate the timing of substance use in relation to sexual difficulties and rule out other medical or psychological causes. Since this condition does not involve a substance use disorder, the focus remains on the episodic, substance-induced nature of the sexual dysfunction.

Treatment Protocols: Treatment approaches generally center on addressing the underlying causes, which may include counseling, education, or temporary cessation of the psychoactive substance. Treating any psychological factors, fostering healthy sexual practices, and managing the effects of substances can help restore sexual function. In some cases, medical or psychological therapies may be recommended to support recovery and coping strategies.

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 F19.981 a billable ICD-10 code?
Yes, F19.981 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report F19.981?
Clinical documentation must specify the nature of Other psychoactive substance use, unspecified with psychoactive substance-induced sexual dysfunction and any associated comorbidities for accurate reporting.

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