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FY2027 ICD-10-CM reference

F16.95: Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder

By the HCC Buddy Coding Team

The official ICD-10-CM descriptor is Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Nonbillable heading. Verified against the official FY2027 order file.

CMS-HCC V28

Not applicable to this nonbillable heading

CMS-HCC V24

Not applicable to this nonbillable heading

ESRD

Not applicable to this nonbillable heading

PACE

Not applicable to this nonbillable heading

RxHCC

Not applicable to this nonbillable heading

HHS-HCC

Not applicable to this nonbillable heading

More specific FY2027 codes

FY2027 Tabular instructions

Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.

Includes

disorders of psychological development

Source: F01-F99 (chapter, inherited).

Excludes2

symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Source: F01-F99 (chapter, inherited).

Includes

ecstasy

Source: F16 (category, inherited).

Includes

PCP

Source: F16 (category, inherited).

Includes

phencyclidine

Source: F16 (category, inherited).

Excludes1

hallucinogen abuse (F16.1-)

Source: F16.9 (self, inherited).

Excludes1

hallucinogen dependence (F16.2-)

Source: F16.9 (self, inherited).

Source: CMS FY2027 Tabular List and Alphabetic Index.

Open Tabular instructions and code details

Compare the FY2027 additions, removals and billable-status changes

What does F16.95 mean in FY2027?

The official ICD-10-CM descriptor is Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.

Is F16.95 billable in FY2027?

The FY2027 order file marks F16.95 as a nonbillable heading. Select a complete billable child code.

Does F16.95 map to an HCC?

Risk-model mapping is not applicable to this nonbillable heading. Check a complete billable child code.

Source: CMS FY2027 ICD-10-CM order file. Read the FY2027 Official Guidelines.

Review the FY2026 April edition