ICD-10 Code F19.239 – Other psychoactive substance dependence with withdrawal, unspecified (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F19.239 – Other psychoactive substance dependence with withdrawal, unspecified
What it is
This code identifies dependence on a psychoactive substance, with withdrawal symptoms present, when the specific substance is not named. Use it when the record confirms dependence and withdrawal but does not specify the drug.
Clinical signs
Typical withdrawal features may include anxiety, tremor, restlessness, sleep disturbance, and autonomic symptoms. Clinical features vary; refer to documentation, especially when the substance and severity are not clearly stated.
When to use this code
Use this code when the provider documents psychoactive substance dependence with withdrawal and does not identify the substance more specifically. It also fits cases where the chart says “unspecified” or leaves the substance type unclear. Check documentation if intoxication, abuse, or remission is mentioned instead.
Do not use for
Do not use it for dependence without withdrawal, or for withdrawal from a specifically named substance when a more precise code is available. Do not assign it if the note only documents use, abuse, or dependence in remission.
Coding tip
Look for both dependence and withdrawal in the same note, and code the substance as unspecified only when the record truly lacks detail.