Other hallucinations
ICD-10 R44.2 is a billable code used to indicate a diagnosis of other hallucinations.
Hallucinations are perceptual experiences that occur without an external stimulus, leading individuals to perceive things that are not present. The ICD-10 code R44.2 encompasses hallucinations that do not fit into more specific categories, such as auditory or visual hallucinations. Symptoms may include hearing voices, seeing objects or people that are not there, or feeling sensations on the skin without any physical cause. These experiences can be distressing and may significantly impact a person's daily functioning. Common causes of other hallucinations include psychiatric disorders such as schizophrenia, severe mood disorders, substance use, neurological conditions like dementia or Parkinson's disease, and sensory deprivation. The diagnostic approach typically involves a thorough clinical assessment, including a detailed patient history, mental status examination, and possibly neuroimaging or laboratory tests to rule out underlying medical conditions. Accurate diagnosis is crucial, as hallucinations can indicate serious underlying issues that require immediate intervention.
Documentation should include a detailed history of the hallucinations, associated symptoms, and any relevant medical history.
Patients presenting with new-onset hallucinations due to metabolic disturbances or medication side effects.
Consideration of comorbid conditions such as diabetes or renal failure that may contribute to altered mental status.
Acute care documentation must capture the onset, duration, and context of hallucinations, along with vital signs and mental status.
Patients presenting with acute psychosis or altered mental status due to substance use or withdrawal.
Rapid assessment and stabilization of the patient, including consideration of potential life-threatening causes.
Used when evaluating a patient with hallucinations in an outpatient setting.
Document the patient's history, examination findings, and any treatment plans.
Ensure that the visit is comprehensive to support the level of service billed.
Common causes include psychiatric disorders, neurological conditions, substance use, and sensory deprivation. Each case requires careful evaluation to determine the underlying cause.
