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ICD-10 Coding for Substance-Induced Psychosis(F10.250, F12.259, F15.950)

Complete ICD-10-CM coding and documentation guide for Substance-Induced Psychosis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Drug-Induced PsychosisToxic Psychosis

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Related ICD-10 Code Ranges

Complete code families applicable to Substance-Induced Psychosis

F10-F19Primary Range

Mental and behavioral disorders due to psychoactive substance use

This range includes codes for mental disorders related to substance use, including substance-induced psychosis.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
F10.250Alcohol-induced psychotic disorder with delusionsUse when delusions are present due to alcohol use.
  • Positive blood alcohol level
  • Delusions directly linked to alcohol use
F12.259Cannabis-induced psychotic disorder, unspecifiedUse when psychosis is directly linked to cannabis use.
  • Positive urine test for cannabis
  • Psychotic symptoms directly linked to cannabis use
F15.950Amphetamine or other stimulant-induced psychotic disorder, unspecifiedUse when psychosis is directly linked to amphetamine use.
  • Positive urine test for amphetamines
  • Psychotic symptoms directly linked to amphetamine use

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 substance-induced psychosis

Essential facts and insights about Substance-Induced Psychosis

The ICD-10 code for substance-induced psychosis depends on the substance, such as F10.250 for alcohol-induced psychosis.

Primary ICD-10-CM Codes for substance induced psychosis

F10.250
Alcohol-induced psychotic disorder with delusions
Billable Code

Decision Criteria

clinical Criteria

  • Presence of delusions linked to alcohol use

Applicable To

  • Alcohol-induced psychosis with delusions

Excludes

  • Alcohol dependence with withdrawal delirium (F10.231)

Clinical Validation Requirements

  • Positive blood alcohol level
  • Delusions directly linked to alcohol use

Code-Specific Risks

  • Ensure delusions are directly linked to alcohol use.

Coding Notes

  • Ensure documentation specifies delusions and links them to alcohol use.
View Full Code Details

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Alcohol intoxication delirium

F10.121
Use if delirium is present alongside psychosis.

Cannabis intoxication delirium

F12.121
Use if delirium is present alongside psychosis.

Amphetamine intoxication delirium

F15.121
Use if delirium is present alongside psychosis.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Alcohol dependence with withdrawal delirium

F10.231
Use when delirium is due to withdrawal, not active use.

Cannabis dependence with withdrawal

F12.231
Use when symptoms are due to withdrawal, not active use.

Amphetamine dependence with withdrawal

F15.231
Use when symptoms are due to withdrawal, not active use.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Substance-Induced Psychosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F10.250.

Impact

Clinical: Misrepresents current clinical status., Regulatory: Non-compliance with coding standards., Financial: Potential for incorrect billing.

Mitigation Strategy

Ensure documentation reflects current status., Avoid using 'history of' for active conditions.

Impact

Reimbursement: May affect DRG assignment and reimbursement., Compliance: Leads to non-compliance with coding guidelines., Data Quality: Reduces data accuracy and specificity.

Mitigation Strategy

Use specific codes like F14.250 for cocaine-induced psychosis.

Impact

High risk of audit if unspecified codes are used when specific codes are available.

Mitigation Strategy

Use specific substance-induced psychosis codes.

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 Substance-Induced Psychosis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Substance-Induced Psychosis

Use these documentation templates to ensure complete and accurate documentation for Substance-Induced Psychosis. These templates include all required elements for proper coding and billing.

Emergency Department Note for Substance-Induced Psychosis

Specialty: Emergency Medicine

Required Elements

  • Substance use history
  • Toxicology results
  • Mental status examination findings

Example Documentation

Pt states, 'I smoked PCP 3 hours ago and now see demons.' Denies prior psychiatric care. MSE: Visual hallucinations, disorganized speech. Labs: PCP-positive urine screen. Assessment: PCP-induced psychotic disorder (F19.950) with acute intoxication.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Psychosis improved.
Good Documentation Example
Hallucinations resolved 72 hours after last methamphetamine use. Urine screen negative at discharge. Final Dx: Methamphetamine-induced psychosis (F15.950) in early remission.
Explanation
The good example specifies symptom resolution and links it to substance use cessation.

Need help with ICD-10 coding for Substance-Induced Psychosis? Ask your questions below.

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