ICD-10-CM 2027 diagnosis code
F16.121Hallucinogen abuse with intoxication with delirium
F16.121 is a valid, billable ICD-10-CM code for hallucinogen abuse with intoxication with delirium. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About F16.121
F16.121 is the ICD-10-CM diagnosis code for hallucinogen abuse with intoxication with delirium. It belongs to category F16 (hallucinogen related disorders), block F10-F19 (mental and behavioral disorders due to psychoactive substance use) and chapter 5 (mental, Behavioral and Neurodevelopmental disorders). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within F16.12 (hallucinogen abuse with intoxication), F16.121 is specifically for hallucinogen abuse with intoxication with delirium. Related codes cover uncomplicated (F16.120), with perceptual disturbance (F16.122) and unspecified (F16.129).
As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.
In MS-DRG v44.0, it is part of the grouping logic for DRG 894 (Alcohol, Drug Abuse or Dependence, Left AMA, relative weight 0.6275), DRG 895 (Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy, relative weight 1.4266), DRG 896 (Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC, relative weight 1.6617) and DRG 897 (Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC, relative weight 0.8584), in MDC 20 (Alcohol/Drug Use and Alcohol/Drug Induced Organic Mental Disorders), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 292.81 (drug-induced delirium).
Notes that apply from higher levels
Instructions written at a parent level also apply to F16.121.
› From F16.1 Hallucinogen abuse
› From F16 Hallucinogen related disorders
- ecstasy
- PCP
- phencyclidine
Broader instructions also apply from Chapter 5: Mental, Behavioral and Neurodevelopmental disorders.
Alphabetic index entries
5 entriesTerms in the official ICD-10-CM index that lead to F16.121.
- Abuse › drug NEC (non-dependent) › hallucinogen › with › intoxication › with › delirium
- Delirium, delirious (acute or subacute) (not alcohol- or drug-induced) › due to (secondary to) › hallucinogen intoxication › in › abuse
- Delirium, delirious (acute or subacute) (not alcohol- or drug-induced) › due to (secondary to) › phencyclidine intoxication (acute) › in › abuse
- Disorder (of) › hallucinogen use › mild › with › hallucinogen intoxication delirium
- Disorder (of) › phencyclidine use › mild › with › phencyclidine intoxication delirium
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 20 · Alcohol/Drug Use and Alcohol/Drug Induced Organic Mental Disorders
- 894Alcohol, Drug Abuse or Dependence, Left AMARW 0.6275
- 895Alcohol, Drug Abuse or Dependence with Rehabilitation TherapyRW 1.4266
- 896Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCCRW 1.6617
- 897Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCCRW 0.8584
ICD-9-CM equivalent
Converter →- 292.81Drug-induced deliriumapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about F16.121
Is F16.121 billable?
- Yes. F16.121 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can F16.121 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict F16.121 as a principal diagnosis.
Is F16.121 a CC or MCC?
- F16.121 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.
What DRG does F16.121 group to?
- F16.121 is used in the MS-DRG v44.0 logic for MS-DRG 894 (Alcohol, Drug Abuse or Dependence, Left AMA), MS-DRG 895 (Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy), MS-DRG 896 (Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC) and MS-DRG 897 (Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for F16.121?
- The CMS General Equivalence Mappings map F16.121 to ICD-9-CM 292.81.