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ICD-10 Guide
ICD-10 CodesF14.120

F14.120

Billable

Cocaine abuse with intoxication, uncomplicated

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F14.120 is a billable code used to indicate a diagnosis of cocaine abuse with intoxication, uncomplicated.

Key Diagnostic Point:

Cocaine abuse with intoxication, uncomplicated, refers to a clinical condition characterized by the excessive use of cocaine, leading to acute intoxication without the presence of severe complications such as withdrawal symptoms or other medical issues. Cocaine is a powerful stimulant that affects the central nervous system, leading to increased energy, euphoria, and heightened alertness. However, it can also cause significant adverse effects, including cardiovascular complications, anxiety, and paranoia. The diagnosis of uncomplicated cocaine intoxication is made when the individual presents with symptoms such as increased heart rate, dilated pupils, and elevated blood pressure, but does not exhibit severe complications that would necessitate a more complex diagnosis. Treatment typically involves supportive care, monitoring vital signs, and addressing any acute symptoms. Understanding the nuances of this diagnosis is crucial for effective treatment and accurate coding, as it helps differentiate between uncomplicated intoxication and more severe forms of substance use disorders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between uncomplicated and complicated intoxication.
  • Understanding the nuances of substance use disorders.
  • Recognizing co-occurring mental health conditions.
  • Navigating documentation requirements for substance abuse treatment.

Audit Risk Factors

  • Inadequate documentation of symptoms and treatment.
  • Misclassification of intoxication severity.
  • Failure to document co-occurring disorders.
  • Inconsistent coding across encounters.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use history, current symptoms, and treatment plan.

Common Clinical Scenarios

Patients presenting with acute intoxication, requiring stabilization and monitoring.

Billing Considerations

Documentation must clearly indicate the absence of withdrawal symptoms to justify the uncomplicated diagnosis.

Psychiatry

Documentation Requirements

Detailed mental health evaluation, including assessment of co-occurring disorders.

Common Clinical Scenarios

Patients with a history of cocaine use presenting with anxiety or mood disturbances.

Billing Considerations

Consideration of dual diagnosis and the impact of cocaine on mental health.

Coding Guidelines

Inclusion Criteria

Use F14.120 When
  • According to ICD
  • 10 coding guidelines, F14
  • 120 should be used when a patient presents with symptoms of cocaine intoxication without withdrawal or other complications
  • It is essential to document the patient's history of substance use and current symptoms accurately

Exclusion Criteria

Do NOT use F14.120 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits after initial intoxication treatment.

Documentation Requirements

Document patient history, treatment response, and ongoing management plan.

Specialty Considerations

Ensure that the visit is clearly related to substance use management.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to track and manage these conditions effectively. F14.120 provides a clear distinction between uncomplicated intoxication and more severe cases, aiding in appropriate treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to track and manage these conditions effectively. F14.120 provides a clear distinction between uncomplicated intoxication and more severe cases, aiding in appropriate treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to track and manage these conditions effectively. F14.120 provides a clear distinction between uncomplicated intoxication and more severe cases, aiding in appropriate treatment planning.

Resources

Clinical References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Coding & Billing References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Frequently Asked Questions

What are the key symptoms of cocaine intoxication?

Key symptoms include euphoria, increased energy, dilated pupils, elevated heart rate, and potential anxiety or paranoia.

How do I differentiate between uncomplicated and complicated cocaine intoxication?

Uncomplicated intoxication does not involve withdrawal symptoms or severe medical complications, while complicated cases may present with additional health issues or withdrawal.