Psychoactive substance NOS, withdrawal
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ICD10 Diagnosis | |
Dx: | Psychoactive substance NOS, withdrawal |
ICD10 code: | F19.3 |
Pre-ICD10 counterpart: | 2nd to Drug OD/ETOH Intox/Withdrawal (Toxic Encephalitis) |
Charlson/ALERT Scale: | none |
APACHE Como Component: | none |
APACHE Acute Component: | none |
Start Date: | |
Stop Date: | |
External ICD10 Documentation |
This diagnosis is a part of ICD10 collection.
Additional Info
Includes
- Muscle relaxants ie. Baclofen
Common Psychoactive Substances
- Pharmaceuticals:
- lithium
- phenothiazines
- olanzapine (Zyprexa)
- respiradone (Respirdol
- quetiapine (Seroquel)
- methylphenidate(Ritalin)
- amphetamines (Adderol)
- other antipsychotics
- Street drugs/agents:
- ecstacy (MDMA), also referred to as Molly
- nitrous oxide
Withdrawal codes
- This category indicates that the patient has current withdrawal symptoms or syndrome for the indicated substance.
- While withdrawal USUALLY goes along with chronic abuse/dependence/addiction, there are drugs where one may get withdrawal symptoms after a first use (e.g. methamphetamines)
- Thus, if (as will often but not universally be the case) a person in withdrawal does have a chronic abuse/dependence/addiction for that substance, you SHOULD also code that.
withdrawal codes: |
See ICD10 Guideline for drugs and substances for more info on coding substance related ICD10 diagnoses.
Distinguishing between Sedative/hypnotics, Hallucinogens, and Psychoactive substances
Common sedatives or hypnotics
- benzodiazepines
- barbiturates
- dilantin and most other antiseizure drugs
- tricyclics and most anti-depressants (but not lithium, which is categorized under “Psychiatric drug NOS”)
- xylazine is a non-opiate sedative, analgesic and muscle relaxant authorized for veterinary use in the US, now being found in a number of illicit drug mixtures such as fentanyl, cocaine and heroin
Common hallucinogens
- LSD (lysergic acid diethylamide)
- PCP (phencyclidine)
- magic mushrooms (psilocybin)
- ketamine
- mescaline (peyote cactus)
- morning glory seeds
- datura
- don't include cannabis under general hallucinogens, see
Common Psychoactive Substances
- Pharmaceuticals:
- lithium
- phenothiazines
- olanzapine (Zyprexa)
- respiradone (Respirdol
- quetiapine (Seroquel)
- methylphenidate(Ritalin)
- amphetamines (Adderol)
- other antipsychotics
- Street drugs/agents:
- ecstacy (MDMA), also referred to as Molly
- nitrous oxide
Alternate ICD10s to consider coding instead or in addition
withdrawal codes: |
psychoactive substance NOS related codes: |
opioid related codes: |
sedative related codes: |
cocaine related codes: |
Hallucinogen related codes: |
solvent related codes: |
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
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