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ICD-10 Guide
ICD-10 CodesF14.129

F14.129

Billable

Cocaine abuse with intoxication, unspecified

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

Code Description

ICD-10 F14.129 is a billable code used to indicate a diagnosis of cocaine abuse with intoxication, unspecified.

Key Diagnostic Point:

Cocaine abuse with intoxication, unspecified (F14.129) refers to a clinical condition characterized by the harmful use of cocaine, leading to acute intoxication without specified severity or symptoms. Cocaine is a powerful stimulant that affects the central nervous system, resulting in increased energy, euphoria, and heightened alertness. However, it can also lead to severe adverse effects, including cardiovascular complications, neurological disturbances, and psychological issues such as anxiety or paranoia. The diagnosis of cocaine abuse with intoxication is made when an individual exhibits signs of intoxication, such as increased heart rate, dilated pupils, and elevated blood pressure, alongside a history of cocaine use that has led to significant impairment or distress. Treatment typically involves supportive care, monitoring of vital signs, and addressing any acute medical issues. Long-term management may include behavioral therapies and support groups to address the underlying substance use disorder and prevent relapse.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in symptoms and severity of intoxication.
  • Need for comprehensive patient history to confirm abuse.
  • Differentiation from other substance use disorders.
  • Potential for co-occurring mental health disorders.

Audit Risk Factors

  • Inadequate documentation of intoxication symptoms.
  • Failure to document the patient's history of cocaine use.
  • Misclassification of intoxication severity.
  • Lack of follow-up treatment documentation.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed patient history, including substance use patterns and treatment history.

Common Clinical Scenarios

Patients presenting with acute intoxication, withdrawal symptoms, or complications from cocaine use.

Billing Considerations

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

Emergency Medicine

Documentation Requirements

Immediate assessment of vital signs, symptoms of intoxication, and any acute medical interventions performed.

Common Clinical Scenarios

Patients arriving in the emergency department with signs of cocaine intoxication or overdose.

Billing Considerations

Rapid assessment and stabilization of the patient are critical, with thorough documentation of interventions.

Coding Guidelines

Inclusion Criteria

Use F14.129 When
  • According to ICD
  • 10 coding guidelines, F14
  • 129 should be used when there is evidence of cocaine abuse with intoxication but without specific symptoms or severity documented
  • It is essential to ensure that the diagnosis aligns with the clinical findings and treatment provided

Exclusion Criteria

Do NOT use F14.129 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with acute cocaine intoxication requiring immediate medical attention.

Documentation Requirements

Detailed documentation of the patient's symptoms, treatment provided, and response to interventions.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation to support the complexity of care provided.

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 abuse with intoxication. This specificity helps in better tracking and management of these conditions, leading to improved treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including cocaine abuse with intoxication. This specificity helps in better tracking and management of these conditions, leading to improved treatment outcomes.

Reimbursement & Billing Impact

reimbursement and to avoid audits.

Resources

Clinical References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)
  • •
    National Institute on Drug Abuse (NIDA)

Coding & Billing References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)
  • •
    National Institute on Drug Abuse (NIDA)

Frequently Asked Questions

What is the difference between F14.129 and F14.120?

F14.129 is used for cocaine abuse with unspecified intoxication, while F14.120 indicates cocaine dependence, which involves a more severe pattern of use and withdrawal symptoms.

How should I document a patient with cocaine intoxication?

Document the patient's history of cocaine use, specific symptoms of intoxication, any medical interventions provided, and follow-up care plans.