F16.150
BillableHallucinogen abuse with hallucinogen-induced psychotic disorder with delusions
HCC Category Mapping
V28HCC 135 — Drug/Alcohol Psychosis
0.000V24HCC 54 — Drug/Alcohol Psychosis
0.434ESRDHCC 54 — Drug/Alcohol Psychosis
0.000What This Code Means
Misuse of hallucinogenic drugs leading to a persistent psychotic disorder characterized by false beliefs (delusions).
Coding Tips
- •This code indicates a more serious psychiatric consequence beyond acute intoxication effects
- •Document whether the psychotic symptoms persist after the drug has cleared the system
Clinical Significance
Hallucinogen abuse with hallucinogen-induced psychotic disorder with delusions is a severe psychiatric presentation where hallucinogenic drug abuse triggers persistent delusional beliefs. This is distinct from the expected perceptual changes of hallucinogen intoxication and represents a true psychotic break. Some patients develop persistent psychotic symptoms that outlast the drug's pharmacologic effects, requiring extended psychiatric treatment.
Documentation Requirements
- ✓Documented hallucinogen abuse pattern
- ✓Psychotic symptoms specifically characterized as delusions (fixed false beliefs)
- ✓Temporal and causal relationship between hallucinogen use and delusion onset
- ✓Documentation that delusions persist beyond the expected duration of intoxication or represent true psychotic disorder features
- ✓Psychiatric evaluation ruling out primary psychotic disorders
- ✓Treatment plan for both psychosis and substance abuse
Commonly Confused Codes
F16.151 — Hallucinogen abuse with psychotic disorder with hallucinations; hallucinations vs. delusionsF16.122 — Hallucinogen abuse with intoxication with perceptual disturbance; transient intoxication effect, not persistent psychosisF16.250 — Hallucinogen dependence with psychotic disorder with delusions; requires documented dependenceF22 — Delusional disorder; primary delusional disorderF23 — Brief psychotic disorder; primary brief psychosis, not substance-induced
Code Hierarchy
└F16Hallucinogen related disorders└F16.1Hallucinogen abuse└F16.15Hallucinogen abuse with hallucinogen-induced psychotic disorder└F16.150Hallucinogen abuse with hallucinogen-induced psychotic disorder with delusions
└F16.150Hallucinogen abuse with hallucinogen-induced psychotic disorder with delusions