F16.9
Header — not billableHallucinogen use, unspecified
The ICD-10 code for hallucinogen use, unspecified is F16.9.
F16.9 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.
- •This code describes an unspecified presentation. If the medical record documents a more specific detail (e.g. laterality, type, or affected site), a more specific sibling code should be used instead — see Related codes below.
- •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 F16.9
- F16.90Hallucinogen use, unspecified, uncomplicated
- F16.91Hallucinogen use, unspecified, in remission
- F16.92Hallucinogen use, unspecified with intoxicationnon-billable header
- F16.94Hallucinogen use, unspecified with hallucinogen-induced mood disorder
- F16.95Hallucinogen use, unspecified with hallucinogen-induced psychotic disordernon-billable header
- F16.98Hallucinogen use, unspecified with other specified hallucinogen-induced disordernon-billable header
- F16.99Hallucinogen use, unspecified with unspecified hallucinogen-induced disorder
Related codes in this category
- F16.1Hallucinogen abusenon-billable header
- F16.2Hallucinogen dependencenon-billable header
- F16.9Hallucinogen use, unspecifiednon-billable header