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ICD-10 Guide
ICD-10 CodesF14.222

F14.222

Billable

Cocaine dependence with intoxication with perceptual disturbance

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

Code Description

ICD-10 F14.222 is a billable code used to indicate a diagnosis of cocaine dependence with intoxication with perceptual disturbance.

Key Diagnostic Point:

Cocaine dependence with intoxication with perceptual disturbance refers to a clinical condition characterized by a compulsive pattern of cocaine use leading to significant impairment or distress. Patients may experience acute intoxication, which can manifest as heightened euphoria, increased energy, and altered perception of reality. Perceptual disturbances may include visual or auditory hallucinations, which can lead to confusion and anxiety. This condition often requires comprehensive treatment strategies, including detoxification, behavioral therapies, and support groups. The diagnosis is made based on clinical assessment, including patient history and symptomatology, and must meet the criteria outlined in the DSM-5 for substance use disorders. Effective management often involves a multidisciplinary approach, addressing both the psychological and physiological aspects of addiction.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between intoxication and withdrawal symptoms
  • Need for comprehensive patient history to establish dependence
  • Potential for co-occurring mental health disorders
  • Variability in presentation of perceptual disturbances

Audit Risk Factors

  • Inadequate documentation of perceptual disturbances
  • Failure to document the severity of dependence
  • Lack of comprehensive treatment plans
  • Inconsistent coding of co-occurring conditions

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute intoxication, requiring immediate intervention and stabilization.

Billing Considerations

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

Psychiatry

Documentation Requirements

Thorough psychiatric evaluation, including assessment of perceptual disturbances and mental health history.

Common Clinical Scenarios

Patients experiencing hallucinations or severe anxiety related to cocaine use.

Billing Considerations

Documentation of any psychiatric comorbidities and their impact on treatment.

Coding Guidelines

Inclusion Criteria

Use F14.222 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the patient's clinical presentation and history
  • Include specific details about perceptual disturbances and the context of cocaine use
  • Ensure compliance with DSM
  • 5 criteria for substance use disorders

Exclusion Criteria

Do NOT use F14.222 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0031CPT Code

Mental health assessment

Clinical Scenario

Used when assessing a patient with cocaine dependence and perceptual disturbances.

Documentation Requirements

Document the assessment findings and treatment recommendations.

Specialty Considerations

Ensure that the assessment aligns with the treatment plan for substance use disorders.

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, improving the ability to capture the complexity of conditions like cocaine dependence with perceptual disturbances. This specificity aids in better treatment planning and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to capture the complexity of conditions like cocaine dependence with perceptual disturbances. This specificity aids in better treatment planning and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to capture the complexity of conditions like cocaine dependence with perceptual disturbances. This specificity aids in better treatment planning and resource allocation.

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 dependence with intoxication?

Key symptoms include compulsive drug-seeking behavior, perceptual disturbances such as hallucinations, increased energy, and anxiety. Patients may also exhibit agitation and paranoia.