F16.220
BillableHallucinogen dependence with intoxication, uncomplicated
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
A person dependent on hallucinogenic drugs is currently intoxicated from using them, without severe complications like confusion or delirium.
Coding Tips
- •This code indicates active intoxication without delirium; if delirium is present, use F16.221 instead
- •Document the timing and amount of hallucinogen use to support the intoxication diagnosis
Clinical Significance
This code captures hallucinogen dependence with active uncomplicated intoxication, indicating the patient is under the immediate effects of hallucinogens. This represents an acute clinical situation requiring monitoring and potentially emergency medical intervention, with significant implications for patient safety.
Documentation Requirements
- ✓Documentation of established hallucinogen dependence
- ✓Clinical signs of current intoxication (perceptual changes, tachycardia, pupil dilation, agitation)
- ✓Statement that intoxication is uncomplicated — no delirium, seizures, or other severe manifestations
- ✓Vital signs and mental status examination
- ✓Specific hallucinogen identified when possible
Commonly Confused Codes
F16.221 — Hallucinogen dependence with intoxication with delirium; use when delirium is presentF16.229 — Hallucinogen dependence with intoxication, unspecified; use only when delirium status cannot be determinedF16.120 — Hallucinogen abuse with intoxication, uncomplicated; use when abuse rather than dependence is documentedF16.920 — Hallucinogen use, unspecified with intoxication; use when abuse vs dependence is undetermined
Code Hierarchy
└F16Hallucinogen related disorders└F16.2Hallucinogen dependence└F16.22Hallucinogen dependence with intoxication└F16.220Hallucinogen dependence with intoxication, uncomplicated
└F16.220Hallucinogen dependence with intoxication, uncomplicated