ICD-10 Coding for Drug-Induced Psychosis(F1x.25, F1x.95)
Complete ICD-10-CM coding and documentation guide for Drug-Induced Psychosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Drug-Induced Psychosis
F10-F19Primary Range
Mental and behavioral disorders due to psychoactive substance use
This range includes codes for substance-induced disorders, including psychosis, due to various substances.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F1x.25 | Substance dependence with psychotic disorder | Use when there is documented dependence on a substance and concurrent psychotic symptoms. |
|
| F1x.95 | Substance use with psychotic disorder | Use when there is documented use of a substance and concurrent psychotic symptoms without dependence. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for drug-induced psychosis
Essential facts and insights about Drug-Induced Psychosis
Primary ICD-10-CM Codes for drug induced psychosis
Decision Criteria
clinical Criteria
- Presence of substance dependence and psychotic symptoms
documentation Criteria
- Clear documentation of substance use pattern and psychotic symptoms
Applicable To
- Hallucinogen dependence with psychosis
- Stimulant dependence with psychosis
Excludes
- Primary psychotic disorders (F20-F29)
Clinical Validation Requirements
- Documented substance dependence
- Presence of psychotic symptoms such as hallucinations or delusions
- Temporal relationship between substance use and onset of symptoms
Code-Specific Risks
- Misclassification if dependence criteria are not met
- Inadequate documentation of psychotic symptoms
Coding Notes
- Ensure documentation clearly links psychotic symptoms to substance use.
F1x.95 - Substance use with psychotic disorder
Use when there is documented use of a substance and concurrent psychotic symptoms without dependence.
Applicable To
- Cannabis use with psychosis
Excludes
- Primary psychotic disorders (F20-F29)
Clinical Validation Requirements
- Documented substance use
- Presence of psychotic symptoms during or shortly after use
Coding Notes
Ensure documentation specifies the substance and psychotic symptoms.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Substance abuse with intoxication
F1x.1xDifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Drug-Induced Psychosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F1x.25.
Impact
Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential reimbursement issues
Mitigation Strategy
Always include substance use details in documentation.
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased accuracy in clinical data reporting.
Mitigation Strategy
Use specific codes like F1x.25 or F1x.95 when substance-induced psychosis is confirmed.
Impact
Lack of specific substance documentation linked to psychosis
Mitigation Strategy
Implement checklist for substance use documentation in patient records.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Drug-Induced Psychosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Drug-Induced Psychosis
Use these documentation templates to ensure complete and accurate documentation for Drug-Induced Psychosis. These templates include all required elements for proper coding and billing.
Emergency Department Presentation
Specialty: PsychiatryRequired Elements
- Substance use history
- Psychotic symptoms
- Temporal relationship
- Lab results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Drug-Induced Psychosis? Ask your questions below.