Sedatv/hyp/anxiolytc abuse w psychotic disorder w delusions

This code signifies a pattern of problematic sedative, hypnotic, or anxiolytic use leading to clinically significant impairment or distress, specifically complicated by the presence of psychotic symptoms characterized by delusions. The delusions are directly attributable to the substance's effects.

Apply this code when a patient presents with a documented diagnosis of sedative, hypnotic, or anxiolytic abuse and is experiencing substance-induced delusions. This typically occurs in acute intoxication or withdrawal states, or during sustained use. Documentation should clearly link the psychotic symptoms (delusions) to the substance use.

• Ensure documentation explicitly states "abuse" and not "dependence" for the substance use disorder component.
• Verify that the psychotic disorder is clearly identified as "substance-induced" and specifically involves "delusions."
• Consider sequencing this code after any acute intoxication or withdrawal codes if applicable, or as the primary diagnosis if it is the focus of the encounter.