F19.150
BillableOther psychoactive substance abuse with psychoactive substance-induced psychotic disorder with delusions
HCC Category Mapping
V28HCC 135 — Drug/Alcohol Psychosis
0.000V24HCC 54 — Drug/Alcohol Psychosis
0.434ESRDHCC 54 — Drug/Alcohol Psychosis
0.000What This Code Means
A condition where someone abuses multiple drugs and develops false beliefs or delusions that are directly caused by the substance use.
Coding Tips
- •Document whether delusions are bizarre or non-bizarre in the clinical record
- •Confirm the psychotic symptoms are substance-induced and not due to an independent psychotic disorder
Clinical Significance
This code captures substance-induced psychotic disorder, which represents a serious psychiatric complication of other psychoactive substance abuse. Substance-induced psychosis significantly increases healthcare utilization, emergency department visits, and hospitalization risk, making accurate capture critical for risk adjustment. These patients require intensive psychiatric management and close monitoring for progression to chronic psychotic disorders.
Documentation Requirements
- ✓Provider documentation specifying the psychoactive substance(s) involved (e.g., designer drugs, bath salts, kratom, polysubstance use)
- ✓Clinical documentation supporting substance abuse pattern (maladaptive use pattern causing clinically significant impairment) without meeting criteria for dependence
- ✓Documentation of fixed false beliefs (delusions) that developed during or shortly after substance use and are directly attributable to the substance
- ✓Assessment and plan addressing the substance use disorder with treatment approach documented
Commonly Confused Codes
F19.20-F19.29 (Other psychoactive substance dependence) — dependence indicates a more severe pattern with tolerance, compulsive use, or withdrawal; abuse is a less severe use patternF19.90-F19.99 (Other psychoactive substance use, unspecified) — unspecified use is used when abuse vs. dependence is not documentedF19.151 (Psychotic disorder with hallucinations) — hallucinations are false sensory perceptions; delusions are fixed false beliefsF20-F29 (Schizophrenia spectrum disorders) — primary psychotic disorders are not substance-induced; confirm temporal relationship with substance useF10-F16 (Specific substance codes: alcohol, opioids, cannabis, sedatives, cocaine, stimulants) — use substance-specific codes when the substance is identified; F19 is for 'other' or multiple unspecified substances
Code Hierarchy
└F19Other psychoactive substance related disorders└F19.1Other psychoactive substance abuse└F19.15Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder└F19.150Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with delusions
└F19.150Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder with delusions