F19.159 Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder, unspecified

ICD10CM code

#### Name of the Condition
- Other Psychoactive Substance Abuse with Psychoactive Substance-Induced Psychotic Disorder, Unspecified
- ICD-10 Code: F19.159

#### Summary
This condition involves the abuse of psychoactive substances not classified elsewhere, leading to a psychotic disorder. The symptoms can vary and may include hallucinations or delusions, but are not clearly defined under one specific type of psychosis.

#### Causes
- Chronic abuse of psychoactive substances such as synthetic drugs, solvents, or other chemical agents.
- Combination of substance use and mental health vulnerabilities.

#### Risk Factors
- History of substance abuse.
- Social or peer pressure to use psychoactive substances.
- Pre-existing psychiatric disorders.
- Exposure to environments where substance use is prevalent.

#### Symptoms
- Hallucinations (seeing or hearing things that are not present).
- Delusions (strong beliefs in things that are not true or do not exist).
- Confusion or disordered thinking.
- Impaired judgment or impulse control.

#### Diagnosis
- Clinical assessment including psychiatric evaluation.
- Laboratory tests to identify substances in the system.
- Detailed medical and personal history review.

#### Treatment Options
- Detoxification to safely remove the substance.
- Antipsychotic medications to manage psychotic symptoms.
- Cognitive-behavioral therapy to address underlying issues.
- Support groups or counseling for long-term recovery.

#### Prognosis and Follow-Up
- Prognosis varies with severity and individual response to treatment.
- Regular follow-ups to monitor mental health status and prevent relapse are crucial.
- Long-term rehabilitation efforts often necessary for sustained recovery.

#### Complications
- Permanent psychiatric disorders if not treated promptly.
- Social and occupational impairment.
- Increased risk of harm to self or others.

#### Lifestyle & Prevention
- Avoiding use of any psychoactive substances.
- Building strong support networks and engaging in healthy social activities.
- Education and awareness about the dangers of substance abuse.

#### When to Seek Professional Help
- Experience of visual or auditory hallucinations.
- Noticeable changes in behavior or mental state.
- Inability to differentiate reality from fiction.

#### Additional Resources
- National Institute on Drug Abuse (NIDA)
- Substance Abuse and Mental Health Services Administration (SAMHSA)
- Local mental health services or hotlines.

#### Tips for Medical Coders
- Ensure accurate identification of the substance involved if possible.
- Verify the linkage between substance abuse and psychosis for correct coding.
- Watch for changes in ICD-10 updates, as definitions and codes can evolve over time.

Medical Policies and Guidelines for Other psychoactive substance abuse with psychoactive substance-induced psychotic disorder, unspecified

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