ICD-10-CM F16.1 is the diagnosis code for Hallucinogen abuse. This code falls under the section "Mental and behavioral disorders due to psychoactive substance use" within Chapter 5 — Mental, Behavioral and Neurodevelopmental disorders (F01-F99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as F16.1. They are mutually exclusive:
Understanding where F16.1 sits in the ICD-10-CM classification helps ensure proper coding:
No, F16.1 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
F16.1 is the ICD-10-CM diagnosis code for "Hallucinogen abuse". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of F16.1 is F16 ("Hallucinogen related disorders"). F16.1 provides a more specific classification within this category.
F16.1 is located in Section F10-F19 — "Mental and behavioral disorders due to psychoactive substance use" within Chapter 5 of the ICD-10-CM Tabular List.
F16.1 has 7 sub-code(s) that provide more specific detail: F16.10, F16.11, F16.12, F16.14, F16.15 and more.
Use F16.1 when the patients documented diagnosis matches "Hallucinogen abuse" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Hallucinogen abuse is F16.1.
No, F16.1 is non-billable. Use a more specific sub-code for primary diagnosis billing.
F16.1 is in Chapter 5 of the ICD-10-CM Tabular List.
Type 1 Excludes for F16.1 include: hallucinogen dependence (F16.2-); hallucinogen use, unspecified (F16.9-).
Yes, F16.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.