Oth psychoactv substance abuse w psych disorder w delusions

This code signifies a patient's problematic pattern of psychoactive substance use leading to clinically significant impairment or distress, specifically when the substance use has induced a psychotic disorder characterized by delusions. This means the patient is experiencing false, fixed beliefs that are not amenable to change in light of conflicting evidence, directly caused by the psychoactive substance.

Apply this code when documentation clearly indicates a diagnosis of substance abuse (not dependence) and a co-occurring psychotic disorder with delusions that is directly attributable to the psychoactive substance. This typically requires a physician's assessment confirming both the abuse pattern and the substance-induced nature of the delusions.

• Differentiate between substance abuse and dependence; this code is specific to abuse.
• Ensure documentation explicitly states the psychotic disorder, specifically delusions, is "substance-induced."
• Consider an additional code for the specific psychoactive substance if known and documented (e.g., F11.150 for opioid abuse with opioid-induced psychotic disorder with delusions).