ICD-10 Code F19.250 – Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with delusions (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F19.250 – Other psychoactive substance dependence with psychoactive substance-induced psychotic disorder with delusions
What it is
This code identifies dependence on another psychoactive substance with a substance-induced psychotic disorder marked by delusions. Use it when the psychosis is attributed to the substance, not a primary psychotic disorder.
Clinical signs
Typical findings include persistent false beliefs, impaired reality testing, and behavioral changes occurring during or after substance use. Clinical features vary; refer to documentation.
When to use this code
Use this code when the record states both dependence and a psychotic disorder with delusions caused by a psychoactive substance. It is appropriate when the clinician links the delusions to the substance and documents the dependence diagnosis.
If the substance is unspecified or the psychosis is not clearly substance-induced, check documentation before coding. Ensure the note supports both conditions rather than only intoxication, withdrawal, or a primary mental disorder.
Do not use for
Do not use this code for simple substance use, intoxication, or withdrawal without psychosis. Do not apply it when delusions are due to a non-substance-related psychotic disorder; use the documented diagnosis instead.
Coding tip
Verify the causal link between the psychoactive substance, dependence, and delusions in the provider’s note before assigning F19.250.