Oth psychoactive substance abuse w anxiety disorder

This code signifies a pattern of problematic use of a psychoactive substance (other than alcohol, opioids, cannabis, sedatives, hypnotics, anxiolytics, stimulants, or hallucinogens) leading to clinically significant impairment or distress, specifically manifesting as an anxiety disorder directly induced by the substance. The patient exhibits symptoms of anxiety (e.g., panic attacks, generalized anxiety, phobias) that developed during or soon after substance intoxication or withdrawal, and the substance is judged to be etiologically related.

Apply this code when documentation clearly indicates abuse of an unspecified psychoactive substance (e.g., inhalants, anabolic steroids, or multiple substances not otherwise specified) and a co-occurring anxiety disorder that is directly attributable to the substance use. This diagnosis requires a causal link between the substance abuse and the anxiety symptoms, as determined by a clinician.

• Ensure the documentation specifies "abuse" rather than "dependence" for the psychoactive substance.
• Verify that the anxiety disorder is explicitly stated as "substance-induced" and not a pre-existing or co-occurring independent anxiety disorder.
• Consider additional codes for specific psychoactive substances if known, or for other manifestations of substance abuse.