Hallucinogen dependence w psychotic disorder w delusions

This code signifies a severe pattern of hallucinogen use characterized by tolerance, withdrawal, and compulsive use, coupled with a co-occurring psychotic disorder where delusions are a prominent feature. The psychotic symptoms, specifically delusions, are directly induced by the hallucinogen use. This indicates a complex presentation requiring integrated treatment for both substance dependence and the substance-induced psychosis.

Use this code when a patient meets the diagnostic criteria for hallucinogen dependence and presents with active delusions directly attributable to their hallucinogen use. Documentation should clearly establish the causal link between hallucinogen consumption and the onset or exacerbation of the delusional symptoms. This code is appropriate for both acute and chronic presentations where dependence and hallucinogen-induced delusions are present.

• Ensure documentation explicitly states "hallucinogen dependence" and "hallucinogen-induced psychotic disorder with delusions."
• Distinguish from primary psychotic disorders where substance use may be comorbid but not causative of the psychosis.
• Consider sequencing this code before codes for other substance-related disorders if the hallucinogen dependence is the primary focus of treatment.