F16.14

HCC Category Mapping

What This Code Means

This code describes a patient who misuses hallucinogenic drugs (such as LSD or psilocybin) and has developed a mood disorder as a direct result of that drug use. The mood disorder may include symptoms like depression, anxiety, or mood swings that are caused by or worsened by the hallucinogen abuse.

Coding Tips

• •Verify that the mood disorder is documented as being induced by or related to hallucinogen use; if the mood disorder is independent, use separate codes for both conditions
• •Ensure the documentation specifies 'abuse' rather than 'dependence' or 'use' - F16.14 is specifically for abuse; dependence would use F16.24 and uncomplicated use would use F16.94

Clinical Significance

Hallucinogen abuse with hallucinogen-induced mood disorder captures mood disturbances directly caused by hallucinogenic drug use. Hallucinogens can trigger both depressive and manic-like symptoms, and some patients develop prolonged mood episodes after hallucinogen exposure. This dual diagnosis of substance abuse and induced mood disorder increases treatment complexity and healthcare resource utilization.

Documentation Requirements

• ✓Documented hallucinogen abuse pattern
• ✓Clinical description of mood disorder: depression, mania, or mixed features
• ✓Clear documentation that mood symptoms are induced by hallucinogen use, not a pre-existing condition
• ✓Temporal relationship between hallucinogen use and mood symptom onset
• ✓Treatment plan addressing both substance abuse and mood disorder

Commonly Confused Codes