F16.11
BillableHallucinogen abuse, in remission
HCC Category Mapping
V28HCC 138 — Drug Use Disorder/Substance Use Disorder, Mild
0.476V24HCC 56 — Drug/Alcohol Abuse, Without Dependence
0.000ESRDHCC 56 — Drug/Alcohol Abuse, Without Dependence
0.000What This Code Means
A condition where someone previously abused hallucinogenic drugs but is now in recovery or remission from that abuse.
Coding Tips
- •Use this code when the patient has achieved sustained abstinence or controlled use
- •Document the length of remission and any ongoing treatment or support services
Clinical Significance
Hallucinogen abuse in remission indicates a patient who previously met criteria for hallucinogen abuse but has achieved recovery status. Despite remission, these patients remain at risk for relapse and may experience long-term psychiatric effects including hallucinogen persisting perception disorder (flashbacks). Continued monitoring and documentation of remission status supports ongoing risk adjustment and clinical surveillance.
Documentation Requirements
- ✓History of hallucinogen abuse documented
- ✓Provider explicitly documents remission status (early remission, sustained remission)
- ✓Duration of remission documented when available
- ✓Assessment for persistent perceptual symptoms or psychiatric sequelae
- ✓Ongoing monitoring plan or discharge from substance use treatment
Commonly Confused Codes
F16.10 — Hallucinogen abuse, uncomplicated; active abuse, not in remissionF16.21 — Hallucinogen dependence, in remission; more severe prior conditionZ87.898 — Personal history of other specified conditions; not appropriate for active remissionF16.183 — Hallucinogen abuse with persisting perception disorder; flashbacks are a separate diagnosis
Code Hierarchy
└F16Hallucinogen related disorders└F16.1Hallucinogen abuse└F16.11Hallucinogen abuse, in remission
└F16.11Hallucinogen abuse, in remission