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ICD-10 Guide
ICD-10 CodesF14.182

F14.182

Billable

Cocaine abuse with cocaine-induced sleep disorder

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

Code Description

ICD-10 F14.182 is a billable code used to indicate a diagnosis of cocaine abuse with cocaine-induced sleep disorder.

Key Diagnostic Point:

Cocaine abuse is characterized by the compulsive use of cocaine despite harmful consequences. This substance use disorder can lead to various physical and psychological issues, including sleep disturbances. Cocaine-induced sleep disorder manifests as insomnia or hypersomnia, which can significantly impair daily functioning. Patients may experience altered sleep patterns, including difficulty falling asleep, frequent awakenings, or excessive sleepiness during the day. The disorder is often exacerbated by the stimulant effects of cocaine, which can disrupt the normal sleep-wake cycle. Treatment typically involves a combination of behavioral therapies, counseling, and support groups, focusing on cessation of cocaine use and management of sleep disturbances. It is crucial for healthcare providers to assess the severity of the substance use disorder and the impact on the patient's overall health, as well as to monitor for potential withdrawal symptoms when discontinuing cocaine use. Comprehensive treatment plans should address both the addiction and the associated sleep disorder to improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between cocaine-induced sleep disorder and other sleep disorders.
  • Understanding the nuances of substance use disorder classifications.
  • Documenting the severity and duration of cocaine abuse.
  • Identifying co-occurring mental health disorders.

Audit Risk Factors

  • Inadequate documentation of the sleep disorder's impact on daily functioning.
  • Failure to document the duration and frequency of cocaine use.
  • Lack of evidence for treatment plans addressing both cocaine abuse and sleep disorder.
  • Misclassification of the severity of the substance use disorder.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including substance use patterns and sleep assessments.

Common Clinical Scenarios

Patients presenting with anxiety, insomnia, or mood disorders related to cocaine use.

Billing Considerations

Consideration of withdrawal symptoms and their management in treatment plans.

Addiction Medicine

Documentation Requirements

Comprehensive treatment plans, including behavioral therapy and medication management.

Common Clinical Scenarios

Patients undergoing detoxification and rehabilitation for cocaine addiction.

Billing Considerations

Integration of sleep disorder management into addiction treatment protocols.

Coding Guidelines

Inclusion Criteria

Use F14.182 When
  • According to ICD
  • 10 guidelines, F14
  • 182 should be used when a patient has a documented history of cocaine abuse and exhibits symptoms of a sleep disorder directly related to cocaine use
  • Coders must ensure that the diagnosis is supported by clinical documentation

Exclusion Criteria

Do NOT use F14.182 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit, intermediate

Clinical Scenario

Used for patients in addiction treatment programs.

Documentation Requirements

Document the counseling session details and patient progress.

Specialty Considerations

Psychiatry and addiction medicine specialists should ensure comprehensive documentation.

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 conditions like cocaine-induced sleep disorder, 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 conditions like cocaine-induced sleep disorder, which enhances the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

impact of the sleep disorder on daily functioning, and the treatment plan addressing both issues.

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 F14.182 and F14.180?

F14.182 includes a cocaine-induced sleep disorder, while F14.180 does not. Proper documentation is essential to determine the correct code.