F16.122
BillableHallucinogen abuse with intoxication with perceptual disturbance
HCC Category Mapping
V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358V24HCC 55 — Drug/Alcohol Dependence
0.334ESRDHCC 55 — Drug/Alcohol Dependence
0.000What This Code Means
Misuse of hallucinogenic drugs with altered sensory perception (such as seeing or hearing things that aren't there) during intoxication.
Coding Tips
- •Document the specific perceptual disturbances observed (visual, auditory, tactile, etc.) in the medical record
- •This differs from F16.151 as it involves intoxication effects rather than persistent psychotic disorder
Clinical Significance
Hallucinogen abuse with intoxication with perceptual disturbance captures the characteristic presentation of hallucinogenic drug intoxication with altered sensory perception. While perceptual disturbances are expected with hallucinogens, this code specifically captures clinically significant alterations that require medical attention. This is distinct from a persistent psychotic disorder and indicates acute, transient effects.
Documentation Requirements
- ✓Documented hallucinogen abuse
- ✓Evidence of current intoxication
- ✓Specific perceptual disturbances documented: visual distortions, synesthesia, illusions, hallucinations
- ✓Documentation that disturbances are acute intoxication effects, not a persistent psychotic disorder
- ✓Clinical assessment of severity and any interventions for distressing perceptual symptoms
Commonly Confused Codes
F16.120 — Hallucinogen abuse with uncomplicated intoxication; use when perceptual disturbances are minimalF16.150/F16.151 — Hallucinogen abuse with psychotic disorder; persistent psychosis, not transient intoxication effectsF16.183 — Hallucinogen abuse with persisting perception disorder (flashbacks); occurs AFTER intoxication has resolvedF16.121 — Hallucinogen abuse with intoxication delirium; delirium involves broader cognitive impairment
Code Hierarchy
└F16Hallucinogen related disorders└F16.1Hallucinogen abuse└F16.12Hallucinogen abuse with intoxication└F16.122Hallucinogen abuse with intoxication with perceptual disturbance
└F16.122Hallucinogen abuse with intoxication with perceptual disturbance