2027 ICD-10-CM Diagnosis Code F19.282Other psychoactive substance dependence with psychoactive substance-induced sleep disorder

ICD-10-CM Codes›F01–F99›F10-F19›F19

ICD-10-CM F19.282
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F19.282 is a billable ICD-10-CM diagnosis code for other psychoactive substance dependence with psychoactive substance-induced sleep disorder. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 894 through 897. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 11 closely related codes. Coders also document this condition as sleep disorder due to polysubstance dependence. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified substance-related disorders and Sleep wake disorders.

For Medicare Advantage risk adjustment, F19.282 maps to CMS-HCC Category 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications) under the V28 model, adding a risk factor of about 0.424 for a community, non-dual, aged beneficiary in payment year 2027.

Code Identity

ICD-10-CM Code
F19.282
Billable Status
Yes — Valid for Submission
Code Describes
Other psychoactive substance dependence with psychoactive substance-induced sleep disorder
Short Description
Oth psychoactive substance dependence w sleep disorder
Parent Code
F19.28
Other psychoactive substance dependence with other psychoactive substance-induced disorders

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF10-F19Mental and behavioral disorders due to psychoactive substance use
CategoryF19Other psychoactive substance related disorders
This CodeF19.282Other psychoactive substance dependence with psychoactive substance-induced sleep disorder

Medicare Risk Adjustment (HCC)Billing

F19.282 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2027.

CMS-HCC V28 Category (Payment Model)
HCC 137— Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications
Payment HCC · PY 2027 one of 308 ICD-10-CM codes in this category
Risk Adjustment Factor (RAF) Weight
+0.424
community, non-dual, aged · ranges 0.297–0.502 across segments
Hierarchy
Superseded by HCC 135 and HCC 136
a more severe related category takes the payment when both are reported
Prior Model (CMS-HCC V24)
HCC 55
V24 retired V28 pays 100% of MA risk scores since PY 2026
Other CMS Models
PACE (CMS-HCC V22): HCC 55 · ESRD (V21): HCC 55 · ESRD (V24): HCC 55
ESRD V21 weights: 0.048 dialysis, 0.112–0.352 functioning graft · ESRD V24 weights: 0.111 dialysis, 0.172–0.416 functioning graft
Part D (RxHCC)
Not mapped
F19.282 does not risk-adjust in the RxHCC prescription drug model

Source: CMS Payment Year 2027 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Sleep disorder due to polysubstance dependence

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to F19.282: its own notes plus those printed at F19.2, F19, and Chapter 5. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From F19 Other psychoactive substance related disorders applies to 63 codes
  • polysubstance drug use (indiscriminate drug use)
From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • disorders of psychological development

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From F19.2 Other psychoactive substance dependence applies to 21 codes
  • other psychoactive substance abuse (F19.1-)
  • other psychoactive substance use, unspecified (F19.9-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name F19.282, its category, or a range that includes it.

Excludes1 3

These codes carry an Excludes1 note naming F19.282: they are not reported together with it, unless the two conditions are unrelated.

  • G47.5 Parasomnia
    drug induced parasomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
  • F19.1 Other psychoactive substance abuse
    other psychoactive substance dependence (F19.2-) names F19.2-, which includes this code
  • F19.9 Other psychoactive substance use, unspecified
    other psychoactive substance dependence (F19.2-) names F19.2-, which includes this code

Excludes2 6

These codes carry an Excludes2 note naming F19.282: its condition is not part of those codes, and both may be reported when the patient has both.

  • F51.0 Insomnia not due to a substance or known physiological condition
    drug-related insomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
  • F51.1 Hypersomnia not due to a substance or known physiological condition
    drug-related hypersomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
  • G47.0 Insomnia
    drug-related insomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
  • G47.1 Hypersomnia
    drug-related hypersomnia (F11.182, F11.282, F11.982, F13.182, F13.282, F13.982, F14.182, F14.282, F14.982, F15.182, F15.282, F15.982, F19.182, F19.282, F19.982)
  • F44.0 Dissociative amnesia
    alcohol-or other psychoactive substance-induced amnestic disorder (F10, F13, F19 with .26, .96) names F19, which includes this code
  • T40 Poisoning by, adverse effect of and underdosing of narcotics and psychodysleptics [hallucinogens]
    drug dependence and related mental and behavioral disorders due to psychoactive substance use (F10.-F19.-) names F19.-, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD025
Other specified substance-related disorders
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR NVS016
Sleep wake disorders
Default principal diagnosis: inpatient No · outpatient No

Patient EducationClinical

Drug Use and Addiction

Drugs are chemical substances that can change how your body and mind work. They include prescription medicines, over-the-counter medicines, alcohol, tobacco, and illegal drugs.

The full article covers:

  • What are drugs?
  • What is drug use?
  • What is drug addiction?
  • Does everyone who takes drugs become addicted?
  • Who is at risk for drug addiction?
  • What are the signs that someone has a drug problem?
  • What are the treatments for drug addiction?
  • Can drug use and addiction be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert F19.282 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
292.85 Drug induced sleep disor
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
304.60 Drug depend NEC-unspec
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About F19.282Overview

Is F19.282 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other psychoactive substance dependence with psychoactive substance-induced sleep disorder on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does F19.282 group to?

When other psychoactive substance dependence with psychoactive substance-induced sleep disorder is the principal diagnosis on an inpatient stay, it groups to MS-DRG 894, 897, 895, 896, with relative weights from 0.6272 to 1.6610 depending on complications. Higher weights mean higher Medicare reimbursement.

Is F19.282 a CC or MCC?

CMS lists F19.282 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 11 closely related codes in its exclusion list.

Can F19.282 be reported with a code from F19.1?

Not as a rule. The Excludes1 note at F19.2, which applies to F19.282, lists "other psychoactive substance abuse (F19.1-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of F19.282?

Under the General Equivalence Mappings, other psychoactive substance dependence with psychoactive substance-induced sleep disorder converts to ICD-9-CM 292.85 (drug induced sleep disor) and 304.60 (drug depend NEC-unspec). The mapping is approximate, so confirm the match fits the documentation.

What HCC is F19.282?

F19.282 (other psychoactive substance dependence with psychoactive substance-induced sleep disorder) maps to CMS-HCC Category 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications), commonly written as HCC 137, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2027. It mapped to HCC 55 under the retired V24 model. It also maps in the PACE (CMS-HCC V22), ESRD (V21), and ESRD (V24) models. It does not map to any RxHCC in the Part D prescription drug model.

Does F19.282 risk-adjust for Medicare Advantage payment?

Yes. When documented and reported on a Medicare Advantage encounter, F19.282 adds a risk adjustment factor of about 0.424 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.297 to 0.502 depending on the payment segment). A more severe related category (HCC 135 and HCC 136) supersedes it when both are reported. See the full factor table on the HCC 137 category page.