F15.159

HCC Category Mapping

What This Code Means

Psychotic symptoms caused by stimulant drug abuse, but the specific type of psychotic symptoms are not detailed.

Coding Tips

• •Use when psychosis is present but hallucinations or delusions are not specifically documented
• •Query provider for clarification on psychotic symptoms if documentation is vague

Clinical Significance

This unspecified stimulant-induced psychotic disorder code captures cases where psychosis is documented in the context of stimulant abuse but the specific manifestation (delusions vs. hallucinations) is not detailed. While it still maps to the psychosis HCC, it represents a documentation gap that should prompt a query to the provider. Accurate risk adjustment depends on specificity, and this code signals an opportunity for clinical clarification.

Documentation Requirements

• ✓Documented stimulant abuse pattern
• ✓Clinical evidence of psychotic symptoms attributed to stimulant use
• ✓Documentation that psychosis is substance-induced, not a primary psychiatric condition
• ✓Attempt to specify whether delusions or hallucinations are present (query if not documented)
• ✓Treatment plan addressing both the substance abuse and the psychotic symptoms

Commonly Confused Codes