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ICD-10 Guide
ICD-10 CodesF14.122

F14.122

Billable

Cocaine abuse with intoxication with perceptual disturbance

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

Code Description

ICD-10 F14.122 is a billable code used to indicate a diagnosis of cocaine abuse with intoxication with perceptual disturbance.

Key Diagnostic Point:

Cocaine abuse with intoxication with perceptual disturbance refers to a clinical condition characterized by the misuse of cocaine, leading to acute intoxication that manifests with perceptual disturbances. These disturbances may include hallucinations, altered sensory perceptions, and distortions in the perception of reality. Cocaine is a powerful stimulant that affects the central nervous system, leading to increased energy, euphoria, and heightened alertness. However, excessive use can result in significant psychological and physiological effects, including anxiety, paranoia, and psychosis. The diagnosis requires a thorough assessment of the patient's history of cocaine use, the presence of perceptual disturbances during intoxication, and the exclusion of other potential causes for these symptoms. Treatment typically involves supportive care, monitoring, and potentially the use of medications to manage symptoms. Long-term management may include behavioral therapies and support groups to address the underlying substance use disorder.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between intoxication and withdrawal symptoms
  • Documenting the severity and duration of perceptual disturbances
  • Understanding the nuances of substance use disorder classifications
  • Navigating the interplay between mental health and substance abuse diagnoses

Audit Risk Factors

  • Inadequate documentation of perceptual disturbances
  • Failure to document the patient's history of cocaine use
  • Misclassification of intoxication versus withdrawal symptoms
  • Lack of comprehensive treatment plans in the medical record

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluations, including mental status examinations and history of substance use.

Common Clinical Scenarios

Patients presenting with acute psychosis or severe anxiety following cocaine use.

Billing Considerations

Consideration of co-occurring mental health disorders and the need for integrated treatment approaches.

Addiction Medicine

Documentation Requirements

Comprehensive substance use assessments and treatment plans, including behavioral therapy notes.

Common Clinical Scenarios

Patients seeking help for cocaine addiction, including those in crisis due to acute intoxication.

Billing Considerations

Focus on long-term recovery strategies and the importance of follow-up care.

Coding Guidelines

Inclusion Criteria

Use F14.122 When
  • According to ICD
  • 10 coding guidelines, F14
  • 122 should be used when the patient exhibits both cocaine abuse and perceptual disturbances during intoxication
  • It is essential to document the specific symptoms and their impact on the patient's functioning

Exclusion Criteria

Do NOT use F14.122 When
  • Exclusion criteria include conditions that may mimic perceptual disturbances, such as other substance intoxications or mental health disorders

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with cocaine abuse and perceptual disturbances.

Documentation Requirements

Document the patient's history, current symptoms, and treatment plan.

Specialty Considerations

Psychiatrists should focus on mental health evaluations and treatment adjustments.

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 types and associated 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 types and associated symptoms, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

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

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 with perceptual disturbances?

Key symptoms include hallucinations, altered sensory perceptions, paranoia, and significant changes in mood or behavior. These symptoms can vary in intensity and duration based on the amount and frequency of cocaine use.