F16.1
Header — not billableHallucinogen abuse
The ICD-10 code for hallucinogen abuse is F16.1.
F16.1 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 7 more specific codes below.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under F16.1
- F16.10Hallucinogen abuse, uncomplicated
- F16.11Hallucinogen abuse, in remission
- F16.12Hallucinogen abuse with intoxicationnon-billable header
- F16.14Hallucinogen abuse with hallucinogen-induced mood disorder
- F16.15Hallucinogen abuse with hallucinogen-induced psychotic disordernon-billable header
- F16.18Hallucinogen abuse with other hallucinogen-induced disordernon-billable header
- F16.19Hallucinogen abuse with unspecified hallucinogen-induced disorder
Related codes in this category
- F16.2Hallucinogen dependencenon-billable header
- F16.9Hallucinogen use, unspecifiednon-billable header
- F16.1Hallucinogen abusenon-billable header