What is the ICD-10 code for history of polysubstance abuse?

The ICD-10 code for a history of polysubstance abuse, when resolved with no current impact, is Z86.59. For cases in remission, use F19.21.

How do you code polysubstance dependence in remission?

Code F19.21 is used for polysubstance dependence in remission, requiring documentation of sustained remission and monitoring results.

ICD-10 Coding for History of Polysubstance Abuse(F19.20, F19.10, F19.21)

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Learn about ICD-10 coding for history of polysubstance abuse, including codes F19.21 and Z86.59, documentation requirements, and coding pitfalls.

Also known as:

Polysubstance Use DisorderMultiple Substance Abuse History

Related ICD-10 Code Ranges

Complete code families applicable to History of Polysubstance Abuse

F01-F99Primary Range

Mental, Behavioral and Neurodevelopmental disorders

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
F19.20	Polysubstance dependence, current	Use when there is active dependence on three or more substances.	Documented tolerance and withdrawal symptoms Positive UDS results
F19.21	Polysubstance dependence, in remission	Use when the patient is in sustained remission for six months or more.	Clinician statement of remission Negative UDS results over a sustained period
Z86.59	Personal history of other mental and behavioral disorders	Use when the disorder is resolved with no current treatment or impact.	No current treatment or impact Documented history of resolved disorder

Primary ICD-10-CM Codes

Other psychoactive substance dependence, uncomplicated

F19.20Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Polysubstance abuse, non-dependentF19.10

Use when there is abuse without dependence.

Personal history of other mental/behavioral disordersZ86.59

Use when there is no current impact or treatment.

Documentation & Coding Risks

Avoid these common issues when documenting History of Polysubstance Abuse.

Using 'history of' for active cases

Impact

Clinical: Misrepresents patient's current status., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.

Mitigation

Verify current treatment status, Use correct remission codes

Coding F19.21 with Z86.59

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.

Mitigation

Use F19.21 if the patient is still in remission and under monitoring.

Remission Documentation

Impact

Inadequate documentation of remission status.

Mitigation

Ensure clinician statements and monitoring results are documented.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with F19.20.

Primary Code

F19.20

Other psychoactive substance dependence, uncomplicated

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ICD-10 codes6

Coding risks3

FAQs2

ICD-10 Coding for History of Polysubstance Abuse(F19.20, F19.10, F19.21)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for history of polysubstance abuse?

How do you code polysubstance dependence in remission?

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