F16.988
BillableHallucinogen use, unspecified with other 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 condition where someone uses hallucinogenic drugs (like LSD or psilocybin) and experiences other drug-related health problems as a result, but the specific type of hallucinogen is not identified.
Coding Tips
- •Use this code when hallucinogen use is documented but the specific substance cannot be determined and other induced disorders are present
- •Ensure documentation specifies what hallucinogen-induced disorder is present (e.g., psychosis, mood disorder) for accurate coding
Clinical Significance
This code captures other specified hallucinogen-induced disorders in patients with unspecified hallucinogen use pattern, covering conditions like substance-induced sleep disorders, sexual dysfunction, or other neurocognitive effects not classified under mood, anxiety, psychosis, or HPPD categories.
Documentation Requirements
- ✓Documentation of hallucinogen use
- ✓Specific identification of the induced disorder
- ✓Causal link between hallucinogen use and the condition
- ✓Documentation that the disorder does not fit mood, anxiety, psychotic, or HPPD categories
- ✓Provider query for abuse vs dependence clarification
Commonly Confused Codes
F16.99 — With unspecified induced disorder; use only when the disorder truly cannot be identifiedF16.94 — With induced mood disorder; use when mood symptoms predominateF16.980 — With induced anxiety disorder; use when anxiety is the primary complicationF16.288 — Hallucinogen dependence with other induced disorder; more specific regarding dependence
Code Hierarchy
└F16Hallucinogen related disorders└F16.9Hallucinogen use, unspecified└F16.98Hallucinogen use, unspecified with other specified hallucinogen-induced disorder└F16.988Hallucinogen use, unspecified with other hallucinogen-induced disorder
└F16.988Hallucinogen use, unspecified with other hallucinogen-induced disorder