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ICD-10 Guide
ICD-10 CodesF14.159

F14.159

Billable

Cocaine abuse with cocaine-induced psychotic disorder, unspecified

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

Code Description

ICD-10 F14.159 is a billable code used to indicate a diagnosis of cocaine abuse with cocaine-induced psychotic disorder, unspecified.

Key Diagnostic Point:

F14.159 refers to a condition characterized by the abuse of cocaine leading to a psychotic disorder that is not specified further. Cocaine abuse is a significant public health issue, often resulting in severe psychological and physical health consequences. The psychotic disorder may manifest as hallucinations, delusions, or severe agitation, which can complicate the clinical picture. Patients may present with symptoms such as paranoia, mood disturbances, and cognitive impairments. The diagnosis requires a thorough assessment to differentiate between primary psychotic disorders and those induced by substance use. Treatment typically involves a combination of behavioral therapies, counseling, and, in some cases, pharmacotherapy to manage withdrawal symptoms and co-occurring mental health issues. Understanding the nuances of this diagnosis is crucial for effective treatment and accurate coding, as it impacts the management strategies employed by healthcare providers.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between primary psychotic disorders and those induced by cocaine use.
  • Understanding the various manifestations of cocaine-induced psychotic disorders.
  • The need for comprehensive documentation of substance use history.
  • Potential co-occurring mental health disorders that may complicate diagnosis.

Audit Risk Factors

  • Inadequate documentation of substance use history.
  • Failure to specify the nature of the psychotic disorder.
  • Misclassification of the primary diagnosis.
  • Lack of evidence for the severity of symptoms.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including substance use and mental health history.

Common Clinical Scenarios

Patients presenting with acute psychosis following cocaine use.

Billing Considerations

Need for clear documentation of the timeline of substance use and onset of symptoms.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use patterns and treatment history.

Common Clinical Scenarios

Patients in withdrawal or seeking treatment for cocaine dependence.

Billing Considerations

Focus on co-occurring disorders and the need for integrated treatment approaches.

Coding Guidelines

Inclusion Criteria

Use F14.159 When
  • According to ICD
  • 10 guidelines, F14
  • 159 should be used when there is clear evidence of cocaine abuse leading to a psychotic disorder
  • It is essential to document the specific symptoms and their duration to support the diagnosis

Exclusion Criteria

Do NOT use F14.159 When
  • Exclusion criteria include primary psychotic disorders not related to substance use

Related ICD-10 Codes

Related CPT Codes

H0031CPT Code

Mental health assessment

Clinical Scenario

Used when assessing a patient for cocaine-induced psychotic disorder.

Documentation Requirements

Detailed notes on patient history and mental status examination.

Specialty Considerations

Psychiatrists should document the assessment thoroughly to support the 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 cocaine-related disorders. This specificity aids in better tracking of treatment outcomes and resource allocation for addiction services.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including cocaine-related disorders. This specificity aids in better tracking of treatment outcomes and resource allocation for addiction services.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including cocaine-related disorders. This specificity aids in better tracking of treatment outcomes and resource allocation for addiction services.

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 cocaine abuse and cocaine dependence?

Cocaine abuse refers to the harmful use of cocaine without meeting the criteria for dependence, while cocaine dependence indicates a more severe condition characterized by tolerance, withdrawal symptoms, and a compulsion to use the drug despite negative consequences.