Non-Billable / Non-Specific Code
ICD-10-CM F16 is the diagnosis code for Hallucinogen related disorders. 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.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where F16 sits in the ICD-10-CM classification helps ensure proper coding:
No, F16 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
F16 is the ICD-10-CM diagnosis code for "Hallucinogen related disorders". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
F16 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 has 3 sub-code(s) that provide more specific detail: F16.1, F16.2, F16.9.
Use F16 when the patients documented diagnosis matches "Hallucinogen related disorders" 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 related disorders is F16.
No, F16 is non-billable. Use a more specific sub-code for primary diagnosis billing.
F16 is in Chapter 5 of the ICD-10-CM Tabular List.
Yes, F16 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.