F15.251

Billable

Other stimulant dependence with stimulant-induced psychotic disorder with hallucinations

HCC Category Mapping

V28HCC 135 — Drug/Alcohol Psychosis

0.000

V24HCC 54 — Drug/Alcohol Psychosis

0.434

ESRDHCC 54 — Drug/Alcohol Psychosis

0.000

What This Code Means

A person dependent on stimulants who has developed psychosis with hallucinations, which are false sensory experiences (seeing, hearing, or feeling things that aren't real) caused by stimulant use.

Coding Tips

•Document psychotic symptoms with specific mention of hallucinations (false sensory perceptions)
•Specify the type of hallucinations (visual, auditory, tactile) when documented for clinical clarity

Clinical Significance

Stimulant dependence with stimulant-induced psychotic disorder with hallucinations represents severe psychiatric pathology where chronic stimulant dependence has produced persistent hallucinatory experiences. Stimulant-induced hallucinations are commonly tactile (formication — sensation of bugs crawling on skin) or auditory, and can be difficult to distinguish from primary psychotic disorders. This diagnosis carries the highest risk adjustment weight in the substance use hierarchy.

Documentation Requirements

✓Documented stimulant dependence
✓Hallucinations specifically described with type (auditory, visual, tactile)
✓Temporal relationship between stimulant use and hallucination onset
✓Documentation distinguishing substance-induced hallucinations from primary psychotic disorder
✓Psychiatric assessment documenting the severity and impact of hallucinations
✓Treatment plan for both psychotic symptoms and dependence

Commonly Confused Codes

F15.250 — Stimulant dependence with psychotic disorder with delusions; delusions vs. hallucinations as predominant feature F15.222 — Stimulant dependence with intoxication with perceptual disturbance; transient vs. persistent hallucinatory state F15.151 — Stimulant abuse with psychotic disorder with hallucinations; requires abuse rather than dependence F20.9 — Schizophrenia, unspecified; primary psychotic disorder, not substance-induced

Code Hierarchy

└F15Other stimulant related disorders └F15.2Other stimulant dependence └F15.25Other stimulant dependence with stimulant-induced psychotic disorder └F15.251Other stimulant dependence with stimulant-induced psychotic disorder with hallucinations

└F15.251Other stimulant dependence with stimulant-induced psychotic disorder with hallucinations