Cocaine abuse with cocaine-induced psychotic disorder
ICD-10 F14.15 is a billable code used to indicate a diagnosis of cocaine abuse with cocaine-induced psychotic disorder.
Cocaine abuse with cocaine-induced psychotic disorder refers to a condition where an individual exhibits a pattern of cocaine use that leads to significant impairment or distress, accompanied by psychotic symptoms such as hallucinations, delusions, or disorganized thinking directly attributable to cocaine use. Cocaine is a powerful stimulant that affects the central nervous system, leading to increased energy, euphoria, and heightened alertness. However, chronic use can result in severe psychological disturbances. The psychotic symptoms may occur during intoxication or withdrawal and can persist even after cessation of use. Diagnosis requires a thorough clinical assessment, including a detailed history of substance use, mental health evaluation, and ruling out other potential causes of psychosis. Treatment typically involves a combination of behavioral therapies, counseling, and support groups, as pharmacological interventions for psychosis may be necessary in some cases. The complexity of this condition lies in the interplay between substance use and mental health, necessitating a comprehensive approach to care.
Detailed psychiatric evaluation, including mental status examination and substance use history.
Patients presenting with acute psychosis following cocaine use, chronic users with recurrent psychotic episodes.
Consideration of the patient's overall mental health history and potential for dual diagnosis.
Comprehensive assessment of substance use patterns, including frequency, quantity, and impact on functioning.
Patients in withdrawal experiencing psychotic symptoms, those in recovery with a history of cocaine use.
Integration of behavioral health interventions and monitoring for relapse.
Used for follow-up visits in patients with cocaine-induced psychotic disorder.
Document the patient's mental status, substance use history, and treatment response.
Psychiatrists should focus on mental health evaluations and treatment plans.
Cocaine abuse refers to the harmful use of cocaine without meeting the criteria for dependence, while cocaine dependence indicates a more severe pattern of use characterized by tolerance, withdrawal symptoms, and compulsive use.
Providers should document the patient's substance use history, specific psychotic symptoms experienced, their duration, and any treatment interventions provided to ensure accurate coding.
