ICD-10 Code F19.188 – Other psychoactive substance abuse with other psychoactive substance-induced disorder (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F19.188 – Other psychoactive substance abuse with other psychoactive substance-induced disorder
What it is
Use this code for abuse of another psychoactive substance when the patient also has a substance-induced disorder caused by that same substance. It indicates both the abuse pattern and the linked mental or behavioral disturbance.
Clinical signs
Clinical features vary; refer to documentation. You may see impaired control, harmful use, and symptoms such as mood, anxiety, psychotic, or sleep disturbance that the record attributes to the substance.
When to use this code
Use F19.188 when the provider documents abuse of an other psychoactive substance and a substance-induced disorder from that substance. The note should clearly connect the disorder to the substance use. If the substance or induced condition is not specified, check documentation before coding.
Do not use for
Do not use this code for dependence, uncomplicated use, or intoxication without a substance-induced disorder. Do not assign it when the record identifies a different substance category or when the induced condition is unrelated.
Coding tip
Confirm both the abuse diagnosis and the substance-induced disorder in the provider note before assigning F19.188.