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ICD-10 Guide
ICD-10 CodesF14.922

F14.922

Billable

Cocaine use, unspecified with intoxication with perceptual disturbance

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

Code Description

ICD-10 F14.922 is a billable code used to indicate a diagnosis of cocaine use, unspecified with intoxication with perceptual disturbance.

Key Diagnostic Point:

F14.922 refers to a condition characterized by the use of cocaine, a powerful stimulant drug, leading to intoxication that includes perceptual disturbances. Cocaine use can result in a range of psychological and physiological effects, including euphoria, increased energy, and heightened alertness, but can also lead to adverse effects such as anxiety, paranoia, and hallucinations. Perceptual disturbances may manifest as altered sensory perceptions, including visual or auditory hallucinations. This code is used when the specific type of cocaine use is not specified, and the patient presents with intoxication symptoms that affect their perception of reality. Treatment often involves supportive care, counseling, and potentially medication to manage symptoms. Understanding the nuances of cocaine use and its effects is crucial for accurate diagnosis and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in patient presentation and symptoms
  • Need for comprehensive documentation of substance use history
  • Differentiation from other substance use disorders
  • Potential for co-occurring mental health conditions

Audit Risk Factors

  • Inadequate documentation of intoxication symptoms
  • Failure to specify the type of cocaine use
  • Lack of evidence for co-occurring conditions
  • Improper linkage between diagnosis and treatment provided

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with acute psychosis or severe anxiety due to cocaine use.

Billing Considerations

Consideration of dual diagnosis and the impact of cocaine on existing mental health conditions.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use history and treatment response.

Common Clinical Scenarios

Patients in withdrawal or seeking treatment for cocaine dependence.

Billing Considerations

Focus on harm reduction strategies and long-term recovery planning.

Coding Guidelines

Inclusion Criteria

Use F14.922 When
  • According to ICD
  • 10 guidelines, F14
  • 922 should be used when a patient presents with cocaine use and exhibits intoxication with perceptual disturbances
  • It is essential to document the specific symptoms and any co
  • occurring conditions to support the diagnosis

Exclusion Criteria

Do NOT use F14.922 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Assessment of substance use disorder

Clinical Scenario

Used when evaluating a patient for cocaine use disorder.

Documentation Requirements

Comprehensive assessment including history and current symptoms.

Specialty Considerations

Psychiatric evaluation may be necessary for accurate diagnosis.

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 ability to capture the nuances of cocaine use and its effects, leading to improved 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, including the ability to capture the nuances of cocaine use and its effects, leading to improved treatment planning and resource allocation.

Reimbursement & Billing Impact

reimbursement.

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?

Key symptoms include euphoria, increased energy, anxiety, paranoia, and perceptual disturbances such as hallucinations.