Skip to content
F16.281 · Billable

2026 ICD-10-CM Diagnosis Code F16.281

Hallucinogen dependence with hallucinogen-induced sexual dysfunction

About F16.281

Code

F16.281

Description

Hallucinogen dependence with hallucinogen-induced sexual dysfunction

Billable

Yes — billable on its own

Parent code

F16 (Hallucinogen related disorders)

Category

F10-F19 — Mental and behavioral disorders due to psychoactive substance use

Set

ICD-10-CM 2026

Clinical context

Inherited from F16 (Hallucinogen related disorders)

F16 covers hallucinogen-related disorders — including LSD, psilocybin, mescaline, MDMA when used for its hallucinogenic effect, and ketamine. Document presence of hallucinogen-persisting perception disorder (HPPD), induced psychotic features, or induced mood/anxiety conditions.

Code details

Code attributes

  • Non-billable/Non-specific code

Coding rules

  • Specify the leaf code — the parent code (e.g. F32) is a navigational header; billing requires a leaf code (F32.0, F32.1, etc.) that matches the documented presentation.
  • Document onset, course, and severity (mild / moderate / severe) plus functional impact. Payers use this combination when adjudicating medical necessity.
  • Attach a validated instrument score (PHQ-9, GAD-7, PCL-5, or equivalent) at intake and at follow-up where applicable. Objective measures support code selection and continued authorization.
  • Review at every visit and update if presentation changes — including remission and partial remission states.

Codes

47 codes in F16

Sources

  • Centers for Medicare & Medicaid Services — 2026 ICD-10-CM
  • AAPC — ICD-10-CM Code Lookup
  • CDC — ICD-10-CM Official Guidelines for Coding and Reporting

This reference is provided for billing and documentation guidance only. It is not medical advice. For clinical decision-making, consult the current CMS ICD-10-CM Official Guidelines for Coding and Reporting, and verify code applicability against the patient's documented clinical findings.

Your evenings belong to you. Not your notes.

Join the therapists who stopped staying late for documentation and started focusing on what matters — their patients.

7-day free trial · Cancel anytime · 30-day money-back guarantee