Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerBilling CodesBehavioral syndromes associated with physiological disturbances and physical factorsICD-10-CM f55-abuse-of-non-psychoactive-substances
    Ask Trek AI about this page

    ICD-10-CM Code For Abuse Of Non-Psychoactive Substances: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group F55 includes diagnoses related to the abuse of non-psychoactive substances, such as misuse of laxatives, topical agents, steroids, or other products that produce physiological harm without primary psychoactive effects. These ICD-10-CM diagnosis codes are used to document clinical scenarios where physiological disturbances result from non-psychoactive substance misuse, capturing severity, organ involvement, or treatment complexity relevant to this group. Accurate coding within the ICD-10-CM F55 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

    Customize your policy alerts

    Sign up for ICD-10-CM Code For Abuse Of Non-Psychoactive Substances: Group Overview policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    ICD-10-CM F55: Abuse Of Non-Psychoactive Substances Overview

    This group captures disorders related to the misuse or abuse of non-psychoactive substances, such as laxatives, steroids, and other agents that do not primarily affect mood or perception. These conditions often involve physiological disturbances and can affect multiple organ systems depending on the substance and exposure. Accurate coding matters for reimbursement because it documents the clinical complexity and resource needs associated with treating the physiological consequences of substance abuse.

    Table of contents

    Progress1 / 6

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    When to Use

    Use a code from this group when a patient presents with clinical problems directly attributable to the misuse of non-psychoactive substances and the provider documents the abuse. Select specific codes based on the substance involved and the documented physiological effects or complications.

    ICD-10-CM Codes

    6 rows

    ICD-10-CM CodeDescription
    F55.0Abuse of antacids
    F55.1Abuse of herbal or folk remedies
    F55.2Abuse of laxatives
    F55.3Abuse of steroids or hormones
    F55.4Abuse of vitamins
    F55.8Abuse of other non-psychoactive substances

    DRG Codes

    4 rows

    DRG CodeDescription
    894Alcohol, Drug Abuse or Dependence, Left AMA
    895Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
    896Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC
    897Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC

    Typical Clinical Scenarios

    • A middle-aged adult presents to the emergency department with acute gastrointestinal bleeding and severe electrolyte abnormalities after prolonged, excessive use of laxatives to control weight; the patient admits to daily stimulant laxative use for months and is found to have dehydration and hypokalemia requiring IV fluids and electrolyte repletion, so a diagnosis from this group is assigned for abuse of non-psychoactive substances related to laxatives. Typical codes: F55.2, F55.8
    • An elderly nursing home resident with chronic misuse of prescribed sedative-hypnotic medications (non-psychoactive agents used for sleep) exhibits progressive daytime somnolence, impaired balance, and frequent falls prompting a geriatric assessment and medication review; because the functional impairment is related to continued non-psychoactive medication abuse rather than primary dementia, a code from this group is used. Typical codes: F55.3, F55.8
    • A young adult is evaluated in outpatient addiction treatment for repeated intentional ingestion of household cleaning agents (non-psychoactive toxic substances) as self-harm behavior; the patient has no primary substance use disorder for psychoactive drugs but requires counseling and medical monitoring for toxic exposure, hence a diagnosis from this group is recorded as the contributing behavioral syndrome. Typical codes: F55.1, F55.8

    Related Codes

    F50-EATING-DISORDERS

    ICD-10-CM Code For Eating Disorders: Group Overview

    F51-SLEEP-DISORDERS-NOT-DUE-TO-SUBSTANCE

    ICD-10-CM Code For Sleep Disorders Not Due To A Substance Or Known Physiological Condition: Group Overview

    F52-SEXUAL-DYSFUNCTION-NOT-DUE

    ICD-10-CM Code For Sexual Dysfunction Not Due To A Substance Or Known Physiological Condition: Group Overview

    F53-MENTAL-AND-BEHAVIORAL-DISORDERS-ASSOCIATED-WITH-THE-PUERPERIUM

    ICD-10-CM Code For Mental And Behavioral Disorders Associated With The Puerperium Not Elsewhere Classified: Group Overview

    F54-PSYCHOLOGICAL-AND-BEHAVIORAL-FACTORS

    ICD-10-CM Code For Psychological And Behavioral Factors Associated With Disorders Or Diseases Classified Elsewhere: Group Overview

    F59-UNSPECIFIED-BEHAVIORAL-SYNDROMES

    ICD-10-CM Code For Unspecified Behavioral Syndromes Associated With Physiological Disturbances And Physical Factors: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
    Published by

    Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.