Cocaine dependence with cocaine-induced psychotic disorder
ICD-10 F14.25 is a billable code used to indicate a diagnosis of cocaine dependence with cocaine-induced psychotic disorder.
Cocaine dependence with cocaine-induced psychotic disorder is characterized by a compulsive pattern of cocaine use leading to significant impairment or distress, coupled with the presence of psychotic symptoms directly attributable to cocaine use. These symptoms may include hallucinations, delusions, and severe agitation, which can occur during intoxication or withdrawal phases. Cocaine dependence is marked by tolerance, withdrawal symptoms, and a persistent desire to cut down or control use. The psychotic disorder manifests as a direct consequence of cocaine use, distinguishing it from primary psychotic disorders. Treatment often involves a combination of behavioral therapies, counseling, and support groups, as pharmacological interventions for cocaine dependence are still under research. Understanding the interplay between substance use and mental health is crucial for effective management and recovery.
Detailed psychiatric evaluations, including history of substance use and mental health assessments.
Patients presenting with acute psychosis following cocaine use, or chronic users with persistent psychotic symptoms.
Careful differentiation between substance-induced and primary psychotic disorders is essential for accurate coding.
Comprehensive substance use history, treatment plans, and progress notes detailing interventions.
Patients undergoing detoxification or rehabilitation for cocaine dependence with concurrent psychotic symptoms.
Documentation should reflect the multidisciplinary approach to treatment, including behavioral therapies.
Used for initial evaluation of patients with cocaine dependence and psychotic symptoms.
Comprehensive assessment including history, mental status exam, and risk assessment.
Psychiatric evaluations should be thorough to support the diagnosis.
Key symptoms include hallucinations, delusions, paranoia, and severe agitation, which occur during or shortly after cocaine use.
