ICD-10 Code F19.232 – Other psychoactive substance dependence with withdrawal with perceptual disturbance (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F19.232 – Other psychoactive substance dependence with withdrawal with perceptual disturbance
What it is
This code identifies dependence on another psychoactive substance, with withdrawal symptoms that include perceptual disturbance. It applies when the patient is physically dependent and experiences altered perception during withdrawal.
Clinical signs
Typical findings include withdrawal symptoms plus perceptual changes such as illusions, hallucinations, or misperceptions. Clinical features vary; refer to documentation.
When to use this code
Use this code when the record clearly documents dependence on a non-specific psychoactive substance and withdrawal with perceptual disturbance. It is appropriate when the clinician links the withdrawal state to the perceptual symptoms. Check documentation if the substance is not named or if the chart only says intoxication, abuse, or uncomplicated withdrawal.
Do not use for
Do not use this code for withdrawal without perceptual disturbance, or for substance use documented only as abuse or use without dependence. Do not guess the substance if the documentation is unclear.
Coding tip
Confirm both dependence and perceptual disturbance are documented before assigning F19.232.