2025 ICD-10-CM code F19.182
Abuse of other psychoactive substances with a sleep disorder induced by the substance.
Medical necessity is established by the presence of a clinically significant sleep disorder resulting from psychoactive substance abuse, impacting the patient's daily functioning and requiring medical intervention.
Diagnosis is based on medical history, signs and symptoms, personal/social behavior inquiry, and physical exam. Lab tests may include blood, urine, or hair samples to detect substance levels. Treatment may include cognitive behavioral therapy (CBT), psychotherapy, residential treatment, and group therapy.
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- Mental and behavioral disorders due to psychoactive substance use (F10-F19)
In simple words: This code refers to problems sleeping due to drug abuse, when the specific drug isn't listed in other codes. It could involve multiple drugs or unspecified drug use.
Other psychoactive substance abuse with psychoactive substance-induced sleep disorder refers to the excessive use of drugs not otherwise specified, along with sleep disturbances caused by the substance. This includes polysubstance or indiscriminate drug use.
Example 1: A patient abuses multiple unspecified drugs and presents with insomnia, nightmares, and difficulty maintaining sleep., A patient is diagnosed with a substance-induced sleep disorder related to indiscriminate drug use and is admitted to a residential treatment center., A patient with a history of polysubstance abuse experiences prolonged sleep during withdrawal, followed by insomnia after detoxification.
Documentation should include the type of substance abuse, the severity of the sleep disorder, any complications, and remission status.