ICD-10 Code F19.139 – Other psychoactive substance abuse with withdrawal, unspecified (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F19.139 – Other psychoactive substance abuse with withdrawal, unspecified
What it is
This code identifies abuse of a psychoactive substance, with withdrawal symptoms present, when the specific substance is not named. Use it when the record supports both abuse and withdrawal, but documentation stays nonspecific.
Clinical signs
Withdrawal may include irritability, anxiety, sleep disturbance, tremor, or other substance-related symptoms. Clinical features vary; refer to documentation and confirm that the provider links them to psychoactive substance withdrawal.
When to use this code
Use F19.139 when the chart documents psychoactive substance abuse and withdrawal, but does not identify the substance more specifically. This is appropriate for outpatient, inpatient, or ED records when the diagnosis is clearly stated. If the substance is named, code to the more specific option instead.
Do not use for
Do not use this code for dependence, uncomplicated abuse without withdrawal, or intoxication only. Check documentation if the substance is identified or if the record uses a different disorder category.
Coding tip
Verify that both “abuse” and “withdrawal” are documented before assigning this code.