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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 F55.8

Billable / Specific

Abuse of other non-psychoactive substances

F55
Block
0
Synonyms
338
LCDs
19
Payer Policies
10
Linked CPTs

About ICD-10-CM F55.8

ICD-10-CM code F55.8 represents Abuse of other non-psychoactive substances. This is a billable/specific code in the Mental, Behavioral, and Neurodevelopmental chapter (block F55). The 2026 edition of ICD-10-CM F55.8 became effective on October 1, 2025.

Medicare LCD Coverage for F55.8

Local Coverage Determinations (LCDs) from CMS MACs that list F55.8 as a covered diagnosis.

338 LCDs

Showing top 10 of 338 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0480 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0481 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0482 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0483 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80305 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT G0659 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80307 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 59416, Effective: 2025-11-01 00:00:00, 428 covered, 0 non-covered
CPT 80306 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 55001, Effective: 2026-01-01 00:00:00, 388 covered, 0 non-covered
CPT G0480 →
CMS LCD: Billing and Coding: Urine Drug Testing
Article ID: 55001, Effective: 2026-01-01 00:00:00, 388 covered, 0 non-covered
CPT G0481 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing F55.8.

19 policies

2 Cigna

Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)
Policy ID: MM_0551
Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258

5 Medicare

Billing and Coding: Urine Drug Testing
Policy ID: ART-54799
Billing and Coding: Urine Drug Testing
Policy ID: ART-55001
Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
Policy ID: ART-56645
Billing and Coding: Urine Drug Testing
Policy ID: ART-56818
Billing and Coding: Urine Drug Testing
Policy ID: ART-56915

1 Aetna

Tuberculosis Testing
Policy ID: CPB-0471

CPT Codes Commonly Billed with F55.8

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

10 linkages
  • G0480 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 80306 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0482 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 0603U CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 80305 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0659 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0483 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 80307 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • G0481 CMS LCD: Billing and Coding: Urine Drug Testing CMS LCD
  • 0082U CMS LCD: Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing CMS LCD

Convert F55.8 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
F55.8 30590 10000
F55.8 30591 10000
F55.8 30592 10000
F55.8 30593 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 F55.8, Billing FAQ

Is ICD-10 code F55.8 billable? +

Yes, F55.8 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with F55.8? +

Procedures frequently paired with F55.8 include: G0480, 80306, G0482, 0603U, 80305.

What ICD-9 codes does F55.8 map to? +

Per CMS GEMs, F55.8 maps to ICD-9 codes: 30590, 30591, 30592, 30593. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on July 16, 2026.

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