Oth psychoactv substance abuse w intox w perceptual disturb

This code signifies a pattern of harmful use of a psychoactive substance (excluding alcohol, opioids, cannabis, sedatives, hypnotics, anxiolytics, stimulants, and hallucinogens) that leads to clinically significant impairment or distress, and is currently accompanied by acute intoxication where the individual experiences perceptual disturbances such as illusions, hallucinations, or other sensory distortions. It indicates both a problematic use pattern and an acute, substance-induced mental state.

Apply this code when documentation clearly indicates a diagnosis of abuse of a non-specified psychoactive substance, alongside evidence of current intoxication. The key differentiator for this specific code is the presence of perceptual disturbances during the intoxicated state, such as visual or auditory hallucinations, or distorted perceptions of reality. Documentation should specify the substance class if known, or categorize it as "other psychoactive substance."

• Ensure documentation explicitly states "abuse" and not "dependence" for the substance use disorder component.
• Verify the presence of perceptual disturbances during intoxication; if absent, a different intoxication code without perceptual disturbances would be more appropriate.
• Always sequence this code after any associated physical health conditions or injuries resulting from the substance use.