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ICD-10-CM 2027 diagnosis code

F19.130Other psychoactive substance abuse with withdrawal, uncomplicated

✓ Billable / specificCC — complication/comorbidity

F19.130 is a valid, billable ICD-10-CM code for other psychoactive substance abuse with withdrawal, uncomplicated. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Other psychoactive substance abuse with withdrawal, uncomp

Code last changed in FY2021 (effective October 1, 2020). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About F19.130

F19.130 is the ICD-10-CM diagnosis code for other psychoactive substance abuse with withdrawal, uncomplicated. It belongs to category F19 (other psychoactive substance related disorders), block F10-F19 (mental and behavioral disorders due to psychoactive substance use) and chapter 5 (mental, Behavioral and Neurodevelopmental disorders). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within F19.13 (other psychoactive substance abuse with withdrawal), F19.130 is specifically for other psychoactive substance abuse with withdrawal, uncomplicated. Related codes cover delirium (F19.131), with perceptual disturbance (F19.132) and unspecified (F19.139).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 791 (Prematurity with Major Problems, relative weight 4.1075), DRG 793 (Full Term Neonate with Major Problems, relative weight 4.2195), DRG 894 (Alcohol, Drug Abuse or Dependence, Left AMA, relative weight 0.6275), DRG 895 (Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy, relative weight 1.4266), DRG 896 (Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC, relative weight 1.6617) and DRG 897 (Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC, relative weight 0.8584), in MDC 15 (Newborns and Other Neonates with Conditions Originating in the Perinatal Period) and MDC 20 (Alcohol/Drug Use and Alcohol/Drug Induced Organic Mental Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It was added in FY2021, effective October 1, 2020.

Notes that apply from higher levels

Instructions written at a parent level also apply to F19.130.

› From F19.1 Other psychoactive substance abuse
Excludes1
  • other psychoactive substance dependence (F19.2-)
  • other psychoactive substance use, unspecified (F19.9-)
› From F19 Other psychoactive substance related disorders
Includes
  • polysubstance drug use (indiscriminate drug use)

Broader instructions also apply from Chapter 5: Mental, Behavioral and Neurodevelopmental disorders.

Alphabetic index entries

1 entries

Terms in the official ICD-10-CM index that lead to F19.130.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

MDC 15 · Newborns and Other Neonates with Conditions Originating in the Perinatal Period

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2021 (effective 10/1/2020): Added
  • No changes since FY2021.

Common questions about F19.130

Is F19.130 billable?

Yes. F19.130 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can F19.130 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict F19.130 as a principal diagnosis.

Is F19.130 a CC or MCC?

F19.130 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does F19.130 group to?

F19.130 is used in the MS-DRG v44.0 logic for MS-DRG 791 (Prematurity with Major Problems), MS-DRG 793 (Full Term Neonate with Major Problems), MS-DRG 894 (Alcohol, Drug Abuse or Dependence, Left AMA), MS-DRG 895 (Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy), MS-DRG 896 (Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC) and MS-DRG 897 (Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.