ICD-10 Code F19.180 – Other psychoactive substance abuse with psychoactive substance-induced anxiety disorder (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F19.180 – Other psychoactive substance abuse with psychoactive substance-induced anxiety disorder
What it is
This code identifies abuse of another psychoactive substance, with anxiety symptoms caused by that substance. Use it when the record links the anxiety disorder directly to the substance use.
Clinical signs
Clinical features vary; refer to documentation. Commonly, the chart may note anxiety, restlessness, panic-like symptoms, or nervousness occurring during or after substance use.
When to use this code
Use this code when the provider documents both psychoactive substance abuse and a substance-induced anxiety disorder caused by the same substance. It is appropriate when the substance is not one of the more specific coded categories.
You should also use it when the anxiety diagnosis is clearly attributed to the substance rather than a primary anxiety disorder. Check documentation for the substance involved and the causal relationship.
Do not use for
Do not use this code if the anxiety disorder is unrelated to substance use or if the record supports a different substance-specific code. Check documentation.
Coding tip
Confirm that the provider explicitly links anxiety to substance abuse before assigning F19.180.