F15.151
BillableOther stimulant abuse with stimulant-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
Hallucinations and other psychotic symptoms directly caused by stimulant drug abuse.
Coding Tips
- •Document whether hallucinations are visual, auditory, or tactile for complete clinical picture
- •Distinguish from primary psychotic disorders by confirming temporal relationship to stimulant use
Clinical Significance
Stimulant-induced psychotic disorder with hallucinations during abuse reflects a severe psychiatric complication where the patient experiences false sensory perceptions directly caused by stimulant use. This condition often presents in emergency settings and may require psychiatric hospitalization for safety and stabilization. Capturing this diagnosis accurately is critical as it carries higher risk adjustment weight than uncomplicated substance abuse.
Documentation Requirements
- ✓Documented pattern of stimulant abuse with the specific stimulant identified when possible
- ✓Clinical description of hallucinations with type specified (auditory, visual, tactile)
- ✓Temporal link between stimulant use and onset of hallucinatory symptoms
- ✓Documentation ruling out primary psychotic disorders as the cause of hallucinations
- ✓Current clinical status and any treatment interventions for the psychotic symptoms
Commonly Confused Codes
F15.150 — Stimulant abuse with psychotic disorder with delusions; use F15.151 when hallucinations are the predominant featureF15.122 — Stimulant abuse with intoxication with perceptual disturbance; intoxication-related perceptual changes are transient and less severe than true psychotic hallucinationsF15.251 — Stimulant dependence with psychotic disorder with hallucinations; requires documented dependence rather than abuseF14.151 — Cocaine abuse with psychotic disorder with hallucinations; use when cocaine is specifically identified as the stimulant
Code Hierarchy
└F15Other stimulant related disorders└F15.1Other stimulant abuse└F15.15Other stimulant abuse with stimulant-induced psychotic disorder└F15.151Other stimulant abuse with stimulant-induced psychotic disorder with hallucinations
└F15.151Other stimulant abuse with stimulant-induced psychotic disorder with hallucinations