F16.129
BillableHallucinogen abuse with intoxication, unspecified
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 intoxication effects that are not further specified or detailed.
Coding Tips
- •Use this code only when the specific type of intoxication manifestation is not documented or cannot be determined
- •Query the provider if more specific intoxication details are available in the clinical documentation
Clinical Significance
Hallucinogen abuse with unspecified intoxication indicates the patient is intoxicated from hallucinogens during a documented abuse pattern, but the specific intoxication characteristics are not detailed. This code should prompt a query for more specific documentation about the intoxication presentation, as the distinction between uncomplicated, with delirium, or with perceptual disturbance has clinical significance.
Documentation Requirements
- ✓Documented hallucinogen abuse
- ✓Evidence of current intoxication
- ✓Query to provider for specification of intoxication characteristics
- ✓Clinical signs of hallucinogen intoxication documented
- ✓Treatment provided for intoxication
Commonly Confused Codes
Code Hierarchy
└F16Hallucinogen related disorders└F16.1Hallucinogen abuse└F16.12Hallucinogen abuse with intoxication└F16.129Hallucinogen abuse with intoxication, unspecified
└F16.129Hallucinogen abuse with intoxication, unspecified