Sedatv/hyp/anxiolytc abuse w psychotic disorder w hallucin

This code signifies a pattern of problematic sedative, hypnotic, or anxiolytic use leading to clinically significant impairment or distress, specifically complicated by a psychotic disorder characterized by hallucinations that are directly induced by the substance. The individual experiences perceptual disturbances (e.g., seeing or hearing things that aren't there) as a direct pharmacological effect of the substance.

Apply this code when documentation clearly indicates both abuse of a sedative, hypnotic, or anxiolytic substance and the presence of substance-induced psychotic symptoms, specifically hallucinations. This diagnosis requires a direct causal link between the substance use and the psychotic features. Use when the patient does not meet criteria for dependence but exhibits a maladaptive pattern of substance use.

• Differentiate from dependence (F13.2-) where there is evidence of tolerance or withdrawal.
• Ensure documentation specifies "abuse" rather than "use" or "dependence" and explicitly mentions "hallucinations" as the psychotic feature.
• Sequence this code first if it is the primary reason for the encounter, followed by any associated physical or mental health conditions.