Oth psychoactive substance dependence w intox delirium

This code signifies a patient's physiological and psychological dependence on a psychoactive substance (excluding alcohol, opioids, cannabis, sedatives, hypnotics, anxiolytics, cocaine, and other stimulants) that is currently causing a state of delirium due to intoxication. The patient exhibits a maladaptive pattern of substance use leading to clinically significant impairment or distress, coupled with acute, fluctuating disturbances in attention, awareness, and cognition directly attributable to the substance's effects.

Use this code when documentation clearly indicates a diagnosis of dependence on a non-specified psychoactive substance, and the patient is experiencing delirium as a direct result of acute intoxication from that substance. Supporting documentation should include evidence of dependence criteria (e.g., tolerance, withdrawal, unsuccessful attempts to cut down) and the characteristic features of delirium (e.g., acute onset, fluctuating course, inattention, disorganized thinking).

• Always specify the exact psychoactive substance if known and a more specific code exists (e.g., F13.221 for sedative dependence with intoxication delirium).
• Ensure documentation differentiates between intoxication delirium and withdrawal delirium; this code is specifically for intoxication.
• Code any associated physical or mental health conditions as secondary diagnoses.