Opioid abuse w opioid-induced psychotic disorder w hallucin

This code signifies a pattern of problematic opioid use leading to clinically significant impairment or distress, specifically complicated by the presence of opioid-induced psychotic symptoms that include hallucinations. The individual experiences both the abuse of opioids and a substance-induced psychotic disorder where hallucinations are a prominent feature.

Apply this code when documentation clearly indicates a diagnosis of opioid abuse alongside an active opioid-induced psychotic disorder characterized by hallucinations. This typically occurs in settings like emergency departments, inpatient psychiatric units, or substance abuse treatment centers where acute intoxication or withdrawal leads to psychotic symptoms. Supporting documentation should include a psychiatric evaluation detailing both the substance use disorder and the specific psychotic features.

• Ensure documentation explicitly states "abuse" of opioids, not dependence or use, and specifies "hallucinations" as the psychotic feature.
• Distinguish from opioid dependence with psychotic disorder (F11.251) or opioid abuse with other psychotic symptoms without hallucinations.
• Consider sequencing this code as the primary diagnosis if the psychotic disorder is the main reason for the encounter, or as a secondary diagnosis if another condition is the primary focus.