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F15.250 ICD-10-CM Code: Other stimulant dependence with stimulant-induced psychotic disorder with delusions

F15.250 maps to CMS-HCC V28 135. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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Code lookupF15.250

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)

F15.250

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other stimulant dependence with stimulant-induced psychotic disorder with delusions

A person dependent on stimulants who has developed psychosis (a severe mental condition) with delusions, which are false beliefs caused by the stimulant use.

Buddy the Bee presenting code insight

Buddy Insight

Stimulant dependence with stimulant-induced psychotic disorder with delusions is a severe psychiatric presentation combining chronic dependence with active psychosis.

OverviewRisk ModelsCode BookDocumentationAuditNotesEdition comparison

CMS-HCC V28

HCC 135

Coefficient HCC 135: 0.424 (Community Non-Dual Aged (CNA))

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 081

Code-level coefficient reference

ESRD/PACE

HCC 54

Code-level coefficient reference

RXHCC

N/A

—

Not mapped

Code Book Path

Official
F15.2Other stimulant dependenceF15.25Other stimulant dependence with stimulant-induced psychotic disorderF15.250Other stimulant dependence with stimulant-induced psychotic disorder with delusions

Inclusion Terms

Official

No inclusion terms are included in this display for F15.250. Check the code and parent instructions in the Code Book.

Excludes 2

Official
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99, F15
  • cocaine-related disorders (F14.-)Inherited from F01-F99, F15

Related Codes

Official
F15.251Other stimulant dependence with stimulant-induced psychotic disorder with hallucinationsF15.259Other stimulant dependence with stimulant-induced psychotic disorder, unspecified

Includes

Official
  • disorders of psychological developmentInherited from F01-F99, F15
  • amphetamine-related disordersInherited from F01-F99, F15
  • caffeineInherited from F01-F99, F15

Excludes 1

Official
  • other stimulant abuse (F15.1-)Inherited from F15.2
  • other stimulant use, unspecified (F15.9-)Inherited from F15.2

Code First

Official

No Code First sequencing instructions are included in this display for F15.250. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F15.250. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F15.250. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Documented stimulant dependence meeting clinical criteria
Psychotic symptoms specifically described as delusions (fixed false beliefs, often paranoid)
Clear temporal and causal relationship between stimulant use and onset of delusions
Documentation ruling out primary psychotic disorder (schizophrenia, schizoaffective disorder)

MEAT Support

HCC Buddy guidance
Documented stimulant dependence meeting clinical criteria
Psychotic symptoms specifically described as delusions (fixed false beliefs, often paranoid)
Clear temporal and causal relationship between stimulant use and onset of delusions
Documentation ruling out primary psychotic disorder (schizophrenia, schizoaffective disorder)

Audit Caution

HCC Buddy guidance
Coding intoxication with perceptual disturbance (F15.222) when documentation supports a true psychotic disorder with delusions
Missing the distinction between transient paranoia during intoxication and a persistent delusional disorder
Not documenting whether delusions resolve after stimulant cessation to confirm substance-induced etiology
Assigning abuse-level codes when dependence criteria are clearly met

Common Mistakes

HCC Buddy guidance
F15.150 — Stimulant abuse with psychotic disorder with delusions; abuse is less severe than dependence
F15.251 — Stimulant dependence with psychotic disorder with hallucinations; hallucinations vs. delusions
F15.222 — Stimulant dependence with intoxication with perceptual disturbance; transient intoxication effect, not persistent psychosis
F20.0 — Paranoid schizophrenia; primary psychotic disorder, not substance-induced

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is F15.250 an HCC code?

Yes. F15.250 (Other stimulant dependence with stimulant-induced psychotic disorder with delusions) maps to HCC 135, Drug Use with Psychotic Complications under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.424. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: F15.250 is billable and maps to V28 HCC 135, Drug Use with Psychotic Complications. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code
F15.250
Description
Other stimulant dependence with stimulant-induced psychotic disorder with delusions
HCC (V28)
HCC 135 — Drug Use with Psychotic Complications
RAF reference coefficient
0.424
Billable
Yes
Payment year
2026

HCC Category Mapping

V28HCC 135, Drug Use with Psychotic Complications
0.424
ESRDHCC 54, Substance Use with Psychotic Complications
Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work F15.250 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F15.250

For F15.250, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

  • MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
  • EEvaluate: test results, medication response, or physical findings reviewed by the provider
  • AAssess: explicit mention in the assessment or plan with acknowledgment of status
  • TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Coder workflow notes

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What This Code Means

F15.250 is the ICD-10-CM diagnosis code for other stimulant dependence with stimulant-induced psychotic disorder with delusions. A person dependent on stimulants who has developed psychosis (a severe mental condition) with delusions, which are false beliefs caused by the stimulant use. F15.250 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).

Under the CMS-HCC V28 risk adjustment model, F15.250 maps to Drug Use with Psychotic Complications (HCC 135) with a source-labeled community, non-dual, aged reference coefficient of 0.424. No V24 mapping is shown for F15.250; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Document psychotic symptoms with specific mention of delusions (false fixed beliefs). For F15.250, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F15.250 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • •Document psychotic symptoms with specific mention of delusions (false fixed beliefs)
  • •Distinguish from intoxication-related perceptual disturbances by documenting true psychotic disorder features

Clinical Significance

Stimulant dependence with stimulant-induced psychotic disorder with delusions is a severe psychiatric presentation combining chronic dependence with active psychosis. Stimulant-induced delusions (often paranoid in nature) can persist beyond the period of acute intoxication and may require extended psychiatric treatment. This represents the highest severity level within the stimulant use disorder spectrum for risk adjustment purposes.

Documentation Requirements

  • ✓Documented stimulant dependence meeting clinical criteria
  • ✓Psychotic symptoms specifically described as delusions (fixed false beliefs, often paranoid)
  • ✓Clear temporal and causal relationship between stimulant use and onset of delusions
  • ✓Documentation ruling out primary psychotic disorder (schizophrenia, schizoaffective disorder)
  • ✓Psychiatric evaluation and treatment plan for both psychosis and dependence

Commonly Confused Codes

  • •F15.150: Stimulant abuse with psychotic disorder with delusions; abuse is less severe than dependence
  • •F15.251: Stimulant dependence with psychotic disorder with hallucinations; hallucinations vs. delusions
  • •F15.222: Stimulant dependence with intoxication with perceptual disturbance; transient intoxication effect, not persistent psychosis
  • •F20.0: Paranoid schizophrenia; primary psychotic disorder, not substance-induced
  • •F14.250: Cocaine dependence with psychotic disorder with delusions; use when cocaine is identified

Child Codes

F15.250Other stimulant dependence with stimulant-induced psychotic disorder with delusions
HCC 135
F15.251Other stimulant dependence with stimulant-induced psychotic disorder with hallucinations
HCC 135
F15.259Other stimulant dependence with stimulant-induced psychotic disorder, unspecified
HCC 135

Code Hierarchy

└F15Other stimulant related disorders└F15.2Other stimulant dependence└F15.25Other stimulant dependence with stimulant-induced psychotic disorder└F15.250Other stimulant dependence with stimulant-induced psychotic disorder with delusions
└F15.250Other stimulant dependence with stimulant-induced psychotic disorder with delusions

Also searched as

  • F15 250
  • F15250

For F15.250, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

F15.250 maps to CMS-HCC V28 category 135, Drug Use with Psychotic Complications. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for F15.250. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

Work F15.250 in HCC Buddy

Open F15.250 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.

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