F11.951
BillableOpioid use, unspecified with opioid-induced psychotic disorder with hallucinations
HCC Category Mapping
V28HCC 135 — Drug/Alcohol Psychosis
0.000V24HCC 54 — Drug/Alcohol Psychosis
0.434ESRDHCC 54 — Drug/Alcohol Psychosis
0.000What This Code Means
Seeing, hearing, or sensing things that aren't real as a direct result of opioid use, such as hearing voices or seeing shadows.
Coding Tips
- •Document the type of hallucinations (visual, auditory, tactile, olfactory, or gustatory)
- •Confirm temporal relationship between opioid use and hallucination onset
Clinical Significance
Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations captures false sensory perceptions caused by opioid use in a patient whose use pattern is not classified. This is a severe psychiatric emergency requiring immediate evaluation, differentiation from primary psychotic disorders, and assessment for overdose or poly-substance use.
Documentation Requirements
- ✓Documentation of specific hallucination types (visual, auditory, tactile, olfactory, gustatory)
- ✓Provider statement that hallucinations are opioid-induced
- ✓Temporal relationship between opioid use and hallucination onset
- ✓Mental status examination documenting psychotic features
- ✓Assessment ruling out primary psychotic disorders, delirium, and other medical causes
- ✓Documentation of opioid use (though pattern not classified)
- ✓Safety assessment and treatment plan
Commonly Confused Codes
F11.950 — Opioid use, unspecified with psychotic disorder with delusions: use when false beliefs (not perceptions) are presentF11.151 — Opioid abuse with psychotic disorder with hallucinations: use when abuse is documentedF11.251 — Opioid dependence with psychotic disorder with hallucinations: use when dependence is documentedF11.922 — Opioid use, unspecified with intoxication with perceptual disturbance: use for transient perceptual changes during intoxication only
Code Hierarchy
└F11Opioid related disorders└F11.9Opioid use, unspecified└F11.95Opioid use, unspecified with opioid-induced psychotic disorder└F11.951Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations
└F11.951Opioid use, unspecified with opioid-induced psychotic disorder with hallucinations