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ICD-10 Guide
ICD-10 CodesF16.14

F16.14

Billable

Hallucinogen abuse with hallucinogen-induced mood disorder

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F16.14 is a billable code used to indicate a diagnosis of hallucinogen abuse with hallucinogen-induced mood disorder.

Key Diagnostic Point:

F16.14 refers to a condition characterized by the abuse of hallucinogenic substances, leading to significant mood disturbances. Hallucinogens, such as LSD, psilocybin, and mescaline, can induce profound alterations in perception, mood, and cognitive processes. When individuals abuse these substances, they may experience a range of psychological effects, including euphoria, anxiety, and paranoia. The mood disorder associated with this code can manifest as depressive episodes, manic episodes, or mood swings that are directly linked to hallucinogen use. Diagnosis requires a thorough assessment of the patient's substance use history, mood symptoms, and the temporal relationship between hallucinogen use and mood disturbances. Treatment typically involves a combination of psychotherapy, support groups, and, in some cases, pharmacotherapy to manage mood symptoms. Clinicians must be vigilant in monitoring for potential withdrawal symptoms and the risk of relapse, as hallucinogen abuse can lead to chronic psychological issues and impaired functioning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between hallucinogen-induced mood disorder and other mood disorders.
  • Need for comprehensive documentation of substance use history.
  • Potential overlap with other substance use disorders.
  • Variability in symptoms based on the specific hallucinogen used.

Audit Risk Factors

  • Inadequate documentation of substance use history.
  • Failure to document the relationship between substance use and mood symptoms.
  • Misclassification of mood disorders not related to hallucinogen use.
  • Lack of follow-up documentation on treatment outcomes.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluations, including substance use history and mood assessments.

Common Clinical Scenarios

Patients presenting with acute mood disturbances following hallucinogen use.

Billing Considerations

Consideration of co-occurring mental health disorders and the need for integrated treatment plans.

Addiction Medicine

Documentation Requirements

Comprehensive substance use assessments and treatment plans.

Common Clinical Scenarios

Patients in recovery programs experiencing mood swings related to past hallucinogen use.

Billing Considerations

Focus on relapse prevention strategies and ongoing support.

Coding Guidelines

Inclusion Criteria

Use F16.14 When
  • According to ICD
  • 10 guidelines, F16
  • 14 should be used when there is clear evidence of hallucinogen abuse leading to mood disorder symptoms
  • Documentation must support the diagnosis, including the timing of substance use and mood symptoms

Exclusion Criteria

Do NOT use F16.14 When
  • Exclusion criteria include mood disorders not related to substance use

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with hallucinogen-induced mood disorder.

Documentation Requirements

Document the patient's history, mental status examination, and treatment plan.

Specialty Considerations

Psychiatrists should ensure comprehensive assessments are included in the visit notes.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hallucinogen-related disorders, improving the accuracy of diagnoses and treatment plans. F16.14 provides a clear distinction between hallucinogen abuse and other mood disorders, facilitating better patient management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hallucinogen-related disorders, improving the accuracy of diagnoses and treatment plans. F16.14 provides a clear distinction between hallucinogen abuse and other mood disorders, facilitating better patient management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of hallucinogen-related disorders, improving the accuracy of diagnoses and treatment plans. F16.14 provides a clear distinction between hallucinogen abuse and other mood disorders, facilitating better patient management.

Resources

Clinical References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Coding & Billing References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Frequently Asked Questions

What is the difference between F16.14 and F16.10?

F16.14 includes mood disorders induced by hallucinogen use, while F16.10 refers to hallucinogen abuse without associated mood disorders.