F16.29
BillableHallucinogen dependence with unspecified hallucinogen-induced disorder
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 is dependent on hallucinogenic drugs and has mental health problems from hallucinogen use, but the specific type of problem is not documented.
Coding Tips
- •Use this code only when the specific hallucinogen-induced disorder cannot be determined from documentation
- •Query the provider if possible to identify the specific disorder for more precise coding
Clinical Significance
This is the least specific hallucinogen dependence code with an induced disorder, indicating documentation is insufficient to identify the specific type. While it still captures HCC value, it represents a quality gap and should prompt provider queries to achieve better specificity.
Documentation Requirements
- ✓Documentation of hallucinogen dependence
- ✓Evidence that some induced disorder is present
- ✓Provider query for specific disorder identification
- ✓Reason specificity cannot be achieved, if applicable
- ✓Clinical signs and symptoms warranting the induced disorder designation
Commonly Confused Codes
F16.20 — Hallucinogen dependence, uncomplicated; use when NO induced disorder is presentF16.288 — With other specified induced disorder; preferred when the disorder IS identifiedF16.24 — With induced mood disorder; preferred when mood symptoms are documentedF16.99 — Hallucinogen use, unspecified with unspecified disorder; even less specific
Code Hierarchy
└F16Hallucinogen related disorders└F16.2Hallucinogen dependence└F16.29Hallucinogen dependence with unspecified hallucinogen-induced disorder
└F16.29Hallucinogen dependence with unspecified hallucinogen-induced disorder