ICD-10 Diagnosis Code F19.27

Oth psychoactive substance dependence w persisting dementia

Diagnosis Code F19.27

ICD-10: F19.27
Short Description: Oth psychoactive substance dependence w persisting dementia
Long Description: Other psychoactive substance dependence with psychoactive substance-induced persisting dementia
This is the 2019 version of the ICD-10-CM diagnosis code F19.27

Valid for Submission
The code F19.27 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Mental and behavioural disorders (F00–F99)
    • Mental and behavioral disorders due to psychoactive substance use (F10-F19)
      • Other psychoactive substance related disorders (F19)
Version 2019 Billable Code

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code F19.27 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

  • 894 - ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA
  • 895 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY
  • 896 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC
  • 897 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC

Convert to ICD-9
  • 292.82 - Drug persisting dementia (Combination Flag)
  • 304.60 - Drug depend NEC-unspec (Combination Flag)

Index to Diseases and Injuries
References found for the code F19.27 in the Index to Diseases and Injuries:


Tabular List of Diseases and Injuries
References found for the code F19.27 in the Tabular List of Diseases and Injuries:

  • Inclusion Terms:
    • Other (or unknown) substance use disorder, moderate, WITH other (or unknown) substance induced major neurocognitive disorder
    • Other (or unknown) substance use disorder, severe, WITH other (or unknown) substance induced major neurocognitive disorder

Information for Patients


Dementia

Also called: Senility

Dementia is the name for a group of symptoms caused by disorders that affect the brain. It is not a specific disease. People with dementia may not be able to think well enough to do normal activities, such as getting dressed or eating. They may lose their ability to solve problems or control their emotions. Their personalities may change. They may become agitated or see things that are not there.

Memory loss is a common symptom of dementia. However, memory loss by itself does not mean you have dementia. People with dementia have serious problems with two or more brain functions, such as memory and language. Although dementia is common in very elderly people, it is not part of normal aging.

Many different diseases can cause dementia, including Alzheimer's disease and stroke. Drugs are available to treat some of these diseases. While these drugs cannot cure dementia or repair brain damage, they may improve symptoms or slow down the disease.

NIH: National Institute of Neurological Disorders and Stroke

  • Dementia (Medical Encyclopedia)
  • Dementia - behavior and sleep problems (Medical Encyclopedia)
  • Dementia - daily care (Medical Encyclopedia)
  • Dementia - keeping safe in the home (Medical Encyclopedia)
  • Dementia and driving (Medical Encyclopedia)
  • Dementia due to metabolic causes (Medical Encyclopedia)
  • Mental status testing (Medical Encyclopedia)

[Read More]

Drug Abuse

Also called: Substance abuse

Drug abuse is a serious public health problem that affects almost every community and family in some way. Each year drug abuse causes millions of serious illnesses or injuries among Americans. Abused drugs include

  • Methamphetamine
  • Anabolic steroids
  • Club drugs
  • Cocaine
  • Heroin
  • Inhalants
  • Marijuana
  • Prescription drugs, including opioids

Drug abuse also plays a role in many major social problems, such as drugged driving, violence, stress, and child abuse. Drug abuse can lead to homelessness, crime, and missed work or problems with keeping a job. It harms unborn babies and destroys families. There are different types of treatment for drug abuse. But the best is to prevent drug abuse in the first place.

NIH: National Institute on Drug Abuse

  • Drug abuse (Medical Encyclopedia)
  • Drug dependence (Medical Encyclopedia)
  • Toxicology screen (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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