{"code":"F16.151","type":"code","title":"Hallucinogen abuse with hallucinogen-induced psychotic disorder with hallucinations","codeAlso":[],"includes":["ecstasy","PCP","phencyclidine"],"modern_v":"official26","codeFirst":[],"excludes1":["hallucinogen dependence (F16.2-)","hallucinogen use, unspecified (F16.9-)"],"excludes2":[],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"inclusionTerms":[],"useAdditionalCode":[],"clinicalDefinition":"Hallucinogen abuse with hallucinogen-induced psychotic disorder with hallucinations is a billable ICD-10-CM diagnosis code (F16.151). Includes: ecstasy; PCP; phencyclidine. Excludes1 (not coded here): hallucinogen dependence (F16.2-); hallucinogen use, unspecified (F16.9-).","officialDefinition":"Hallucinogen abuse with hallucinogen-induced psychotic disorder with hallucinations is a billable ICD-10-CM diagnosis code (F16.151). Includes: ecstasy; PCP; phencyclidine. Excludes1 (not coded here): hallucinogen dependence (F16.2-); hallucinogen use, unspecified (F16.9-).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"ecstasy":"F16","PCP":"F16","phencyclidine":"F16","hallucinogen dependence (F16.2-)":"F16.1","hallucinogen use, unspecified (F16.9-)":"F16.1"},"hcc":{"mapped":true,"model":"CMS-HCC V28","paymentYear":"2026","categories":[{"hcc":"135","label":"Drug Use with Psychotic Complications","family":"SUD","suppresses":[{"hcc":"136","label":"Alcohol Use with Psychotic Complications"},{"hcc":"137","label":"Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications"},{"hcc":"138","label":"Drug Use Disorder, Mild, Uncomplicated, Except Cannabis"},{"hcc":"139","label":"Alcohol Use Disorder, Moderate/Severe, or Alcohol Use with Specified Non-Psychotic Complications"}]}],"otherModels":[{"model":"CMS-HCC V22","hcc":"54"}]}}