F10-19 Mental and behavioral disorders by psychotropic

Disorders whose gravity goes from uncomplicated poisoning and harmful consumption to manifest psychotic and dementia cadres. All of them are secondary to the consumption of one or more psychotropas substances (even if they have been prescribed by a doctor).

The aforementioned substance is indicated by the second or third character (the first two digits after the letter f) and the fourth and fifth characters encode the specific clinical pictures. Not all codes of the fourth character are applicable to each and every substance.

Diagnosis guidelines

The identification of the psychotropic substance involved, which can be done through the data provided by the individual, of the objectives of urine samples, blood, etc., or of any other source (samples of substances in the patient's belongings, clinical symptoms and signs or information provided by third parties).

Many of those who consume psychotropas substances are not limited to a single. However, the diagnostic classification of the disorder must be done, when possible, according to substances (or substance class) consumed. Therefore, in case of doubt, the substance or type of substance that causes the disorder present at the time and that which is consumed more frequently, especially when it comes to continuous or daily consumption must be taken into account.

Only in cases where consumption is erratic and indiscriminate or in which an inseparable mixture of different substances is used, it should be encoded in F19, mental and behavioral disorders due to the consumption of multiple psychotrops or other psychotropas substances. If the consumption of several concrete substances had been identified, all of them must be encoded.

The pathological use of other non -psychotropic substances such as laxatives, aspirins, etc., It must be encoded according to F55, abuse of substances that do not create dependency (with a fourth character to specify the type of substance consumed).

Cases in which mental disorders (particularly delirium in the elderly) are due to psychotropic substances, but without the presence of one of the disorders included in this chapter (for example, harmful use or dependence syndrome) they should be encoded in F00- F09. When a delirium picture overlaps one of the disorders included in this section should be encoded by F1X.3 or F1X.4.