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ICD-10 Guide
ICD-10 CodesF14.121

F14.121

Billable

Cocaine abuse with intoxication with delirium

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

Code Description

ICD-10 F14.121 is a billable code used to indicate a diagnosis of cocaine abuse with intoxication with delirium.

Key Diagnostic Point:

Cocaine abuse with intoxication with delirium is characterized by the harmful use of cocaine, a powerful stimulant that can lead to significant psychological and physiological effects. Intoxication occurs when an individual consumes cocaine, resulting in symptoms such as euphoria, increased energy, heightened alertness, and decreased appetite. However, excessive use can lead to severe adverse effects, including delirium, which is a state of severe confusion and disorientation. Delirium may manifest as hallucinations, agitation, and altered levels of consciousness. The clinical presentation can vary widely, and the severity of symptoms often correlates with the amount and frequency of cocaine use. Treatment typically involves supportive care, including monitoring vital signs, ensuring patient safety, and addressing any co-occurring mental health issues. Long-term management may require substance use disorder treatment programs, including behavioral therapies and support groups, to help individuals achieve and maintain sobriety.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between intoxication and withdrawal symptoms
  • Identifying co-occurring mental health disorders
  • Documenting the severity of delirium accurately
  • Understanding the nuances of substance abuse terminology

Audit Risk Factors

  • Inadequate documentation of intoxication severity
  • Failure to document co-occurring conditions
  • Misclassification of delirium symptoms
  • Lack of evidence for treatment interventions

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Comprehensive mental status examination and history of substance use.

Common Clinical Scenarios

Patients presenting with acute psychosis or delirium due to cocaine use.

Billing Considerations

Documenting the timeline of substance use and any previous treatment attempts.

Addiction Medicine

Documentation Requirements

Detailed substance use history and assessment of withdrawal symptoms.

Common Clinical Scenarios

Patients in need of detoxification and rehabilitation services.

Billing Considerations

Coordination with mental health services for dual diagnosis treatment.

Coding Guidelines

Inclusion Criteria

Use F14.121 When
  • According to ICD
  • 10 guidelines, F14
  • 121 should be used when there is clear documentation of cocaine abuse leading to intoxication with delirium
  • It is essential to differentiate this from other substance use disorders and document the specific symptoms and treatment provided

Exclusion Criteria

Do NOT use F14.121 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99223CPT Code

Initial hospital care, typically 70 minutes or more

Clinical Scenario

Used when a patient with F14.121 is admitted for acute management.

Documentation Requirements

Detailed history and examination, including mental status assessment.

Specialty Considerations

Psychiatric evaluation may be necessary for accurate diagnosis.

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, including the differentiation of intoxication and withdrawal symptoms, which enhances the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the differentiation of intoxication and withdrawal symptoms, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

reimbursement.

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 is the difference between F14.121 and F14.10?

F14.121 specifically refers to cocaine abuse with intoxication and delirium, while F14.10 refers to cocaine dependence without the acute intoxication or delirium symptoms.