2021 ICD-10-CM Code F16.95

Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder

Version 2021

Not Valid for Submission

F16.95 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of hallucinogen use, unspecified with hallucinogen-induced psychotic disorder. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Unspecified diagnosis codes like F16.95 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

ICD-10:F16.95
Short Description:Hallucinogen use, unsp w psychotic disorder
Long Description:Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder

Code Classification

Specific Coding for Hallucinogen use, unsp w psychotic disorder

Non-specific codes like F16.95 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for hallucinogen use, unsp w psychotic disorder:

  • BILLABLE CODE - Use F16.950 for Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder with delusions
  • BILLABLE CODE - Use F16.951 for Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder with hallucinations
  • BILLABLE CODE - Use F16.959 for Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder, unspecified

Information for Patients


Drug Abuse

Also called: Substance abuse

Drug abuse is a serious public health problem that affects almost every community and family in some way. Each year drug abuse causes millions of serious illnesses or injuries among Americans. Abused drugs include

Drug abuse also plays a role in many major social problems, such as drugged driving, violence, stress, and child abuse. Drug abuse can lead to homelessness, crime, and missed work or problems with keeping a job. It harms unborn babies and destroys families. There are different types of treatment for drug abuse. But the best is to prevent drug abuse in the first place.

NIH: National Institute on Drug Abuse


[Learn More in MedlinePlus]

Psychotic Disorders

Also called: Psychoses

Psychotic disorders are severe mental disorders that cause abnormal thinking and perceptions. People with psychoses lose touch with reality. Two of the main symptoms are delusions and hallucinations. Delusions are false beliefs, such as thinking that someone is plotting against you or that the TV is sending you secret messages. Hallucinations are false perceptions, such as hearing, seeing, or feeling something that is not there.

Schizophrenia is one type of psychotic disorder. People with bipolar disorder may also have psychotic symptoms. Other problems that can cause psychosis include alcohol and some drugs, brain tumors, brain infections, and stroke.

Treatment depends on the cause of the psychosis. It might involve drugs to control symptoms and talk therapy. Hospitalization is an option for serious cases where a person might be dangerous to himself or others.


[Learn More in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)