F16.95
F16.95 — Hallucinogen use, unspecified with hallucinogen-induced psychotic disorder
Non-billable headerICD-10-CM
F16.95 is a non-billable header ICD-10-CM code for hallucinogen use, unspecified with hallucinogen-induced psychotic disorder. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
F16.95 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead F16.95
3 child codes. Green means billable.
Related codes at this level
Codes that share F16.9. If F16.95 is not quite right, the correct code is usually one of these.
- F16.90Hallucinogen use, unspecified, uncomplicated
- F16.91Hallucinogen use, unspecified, in remission
- F16.92Hallucinogen use, unspecified with intoxication
- F16.94Hallucinogen use, unspecified with hallucinogen-induced mood disorder
- F16.98Hallucinogen use, unspecified with other specified hallucinogen-induced disorder
- F16.99Hallucinogen use, unspecified with unspecified hallucinogen-induced disorder
Questions about F16.95
- Is F16.95 a billable ICD-10-CM code?
- No. F16.95 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does F16.95 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental and behavioral disorders due to psychoactive substance use (F10-F19).