F16.94
BillableHallucinogen use, unspecified with hallucinogen-induced mood 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 uses hallucinogenic drugs and develops mood problems such as depression or mania caused by the hallucinogen.
Coding Tips
- •Document the specific mood disorder (depression, mania, etc.) in the clinical record
- •Distinguish between hallucinogen-induced mood disorder and primary mood disorders
Clinical Significance
Hallucinogen use (unspecified pattern) with induced mood disorder captures patients experiencing depression, mania, or mixed mood features caused by hallucinogen use. The unspecified use pattern indicates documentation does not clarify abuse vs dependence, but the mood disorder complication adds clinical complexity.
Documentation Requirements
- ✓Documentation of hallucinogen use
- ✓Specific mood disorder symptoms (depressive, manic, or mixed)
- ✓Provider statement that the mood disturbance is induced by hallucinogen use
- ✓Query for abuse vs dependence clarification
- ✓Differentiation from primary mood disorders
- ✓Treatment plan addressing substance use and mood symptoms
Commonly Confused Codes
F16.14 — Hallucinogen abuse with induced mood disorder; preferred when abuse is documentedF16.24 — Hallucinogen dependence with induced mood disorder; preferred when dependence is documentedF32.9 — Major depressive disorder, unspecified; use for primary depression not substance-inducedF16.980 — Hallucinogen use, unspecified with induced anxiety; anxiety is distinct from mood disorder
Code Hierarchy
└F16Hallucinogen related disorders└F16.9Hallucinogen use, unspecified└F16.94Hallucinogen use, unspecified with hallucinogen-induced mood disorder
└F16.94Hallucinogen use, unspecified with hallucinogen-induced mood disorder