Cocaine related disorders
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F14 is a billable code used to indicate a diagnosis of cocaine related disorders.
Cocaine-related disorders encompass a range of conditions resulting from the use of cocaine, a powerful central nervous system stimulant. These disorders include cocaine use disorder, cocaine intoxication, and cocaine withdrawal. Cocaine use disorder is characterized by a problematic pattern of cocaine use leading to significant impairment or distress, manifesting in symptoms such as cravings, tolerance, and withdrawal. Cocaine intoxication can present with symptoms like euphoria, increased energy, and heightened alertness, but may also lead to severe complications such as cardiovascular issues, anxiety, and paranoia. Withdrawal symptoms may include fatigue, increased appetite, and depression. Treatment for cocaine-related disorders typically involves behavioral therapies, counseling, and support groups, as there are currently no FDA-approved medications specifically for cocaine addiction. The complexity of managing these disorders lies in the need for comprehensive assessment and individualized treatment plans, considering the potential for co-occurring mental health disorders and the social determinants of health that may impact recovery.
Comprehensive assessment of substance use history, including frequency, quantity, and context of cocaine use.
Patients presenting with acute cocaine intoxication, chronic cocaine use disorder, or withdrawal symptoms.
Consideration of co-occurring mental health disorders and the need for multidisciplinary treatment approaches.
Detailed psychiatric evaluation including mental status examination and risk assessment.
Patients with cocaine use disorder presenting with anxiety, depression, or psychosis.
Documentation of any psychiatric comorbidities and their impact on treatment planning.
Used in conjunction with treatment for cocaine use disorder to address co-occurring substance use issues.
Document the patient's substance use history and counseling provided.
Addiction specialists should ensure comprehensive treatment plans are documented.
Cocaine use disorder refers to a problematic pattern of cocaine use leading to significant impairment or distress, while cocaine intoxication is the acute state resulting from recent cocaine use, characterized by specific symptoms such as euphoria and increased energy.
