2026 ICD-10-CM Diagnosis Code F16.19
Hallucinogen abuse with unspecified hallucinogen-induced disorder
About F16.19
Code
F16.19
Description
Hallucinogen abuse with unspecified hallucinogen-induced disorder
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- F16.10Hallucinogen abuse, uncomplicated
- F16.11Hallucinogen abuse, in remission
- F16.120Hallucinogen abuse with intoxication, uncomplicated
- F16.121Hallucinogen abuse with intoxication delirium
- F16.129Hallucinogen abuse with intoxication, unspecified
- F16.13Hallucinogen abuse with withdrawal
- F16.14Hallucinogen abuse with hallucinogen-induced mood disorder
- F16.150Hallucinogen abuse with hallucinogen-induced psychotic disorder with delusions
- F16.151Hallucinogen abuse with hallucinogen-induced psychotic disorder with hallucinations
- F16.159Hallucinogen abuse with hallucinogen-induced psychotic disorder, unspecified
- F16.180Hallucinogen abuse with hallucinogen-induced anxiety disorder
- F16.181Hallucinogen abuse with hallucinogen-induced sexual dysfunction
- F16.182Hallucinogen abuse with hallucinogen-induced sleep disorder
- F16.188Hallucinogen abuse with other hallucinogen-induced disorder
- F16.19Hallucinogen abuse with unspecified hallucinogen-induced disorderYou're here
- F16.20Hallucinogen dependence, uncomplicated
- F16.21Hallucinogen dependence, in remission
- F16.220Hallucinogen dependence with intoxication, uncomplicated
- F16.221Hallucinogen dependence with intoxication delirium
- F16.229Hallucinogen dependence with intoxication, unspecified
- F16.230Hallucinogen dependence with withdrawal, uncomplicated
- F16.231Hallucinogen dependence with withdrawal delirium
- F16.232Hallucinogen dependence with withdrawal with perceptual disturbance
- F16.239Hallucinogen dependence with withdrawal, unspecified
- F16.24Hallucinogen dependence with hallucinogen-induced mood disorder
- F16.250Hallucinogen dependence with hallucinogen-induced psychotic disorder with delusions
- F16.251Hallucinogen dependence with hallucinogen-induced psychotic disorder with hallucinations
- F16.259Hallucinogen dependence with hallucinogen-induced psychotic disorder, unspecified
- F16.280Hallucinogen dependence with hallucinogen-induced anxiety disorder
- F16.281Hallucinogen dependence with hallucinogen-induced sexual dysfunction
- F16.282Hallucinogen dependence with hallucinogen-induced sleep disorder
- F16.288Hallucinogen dependence with other hallucinogen-induced disorder
- F16.29Hallucinogen dependence with unspecified hallucinogen-induced disorder
- F16.90Hallucinogen use, unspecified, uncomplicated
- F16.91Hallucinogen use, unspecified, in remission
- F16.920Hallucinogen use, unspecified with intoxication, uncomplicated
- F16.921Hallucinogen use, unspecified with intoxication delirium
- F16.929Hallucinogen use, unspecified with intoxication, unspecified
- F16.94Hallucinogen use, unspecified with hallucinogen-induced mood disorder
- F16.950Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder with delusions
- F16.951Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder with hallucinations
- F16.959Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder, unspecified
- F16.980Hallucinogen use, unspecified with hallucinogen-induced anxiety disorder
- F16.981Hallucinogen use, unspecified with hallucinogen-induced sexual dysfunction
- F16.982Hallucinogen use, unspecified with hallucinogen-induced sleep disorder
- F16.988Hallucinogen use, unspecified with other hallucinogen-induced disorder
- F16.99Hallucinogen use, unspecified with unspecified hallucinogen-induced disorder
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.
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