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ICD-10 Guide
ICD-10 CodesF14.951

F14.951

Billable

Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations

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

Code Description

ICD-10 F14.951 is a billable code used to indicate a diagnosis of cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations.

Key Diagnostic Point:

F14.951 refers to a condition characterized by the use of cocaine, leading to a psychotic disorder that includes hallucinations. Cocaine is a powerful stimulant that affects the central nervous system, and its use can lead to significant psychological disturbances. Patients may experience auditory or visual hallucinations, delusions, and severe agitation. The psychotic symptoms can occur during intoxication or withdrawal phases, complicating the clinical picture. Treatment typically involves a combination of pharmacological interventions to manage symptoms and behavioral therapies aimed at addressing substance use disorders. The condition is often seen in emergency settings, where immediate intervention is necessary to ensure patient safety and stabilization. Accurate coding is crucial for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between intoxication and withdrawal symptoms
  • Identifying the presence of psychotic features
  • Documenting the severity and duration of symptoms
  • Understanding the interplay between substance use and mental health disorders

Audit Risk Factors

  • Inadequate documentation of psychotic symptoms
  • Failure to specify the type of cocaine use
  • Lack of evidence for the diagnosis of psychotic disorder
  • Misclassification of the severity of the condition

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed mental status examination and history of substance use.

Common Clinical Scenarios

Patients presenting with acute psychosis following cocaine use.

Billing Considerations

Consideration of co-occurring mental health disorders and the need for comprehensive treatment plans.

Addiction Medicine

Documentation Requirements

Thorough assessment of substance use history and treatment response.

Common Clinical Scenarios

Patients in withdrawal experiencing psychotic symptoms.

Billing Considerations

Integration of behavioral health interventions with medical treatment.

Coding Guidelines

Inclusion Criteria

Use F14.951 When
  • Follow the ICD
  • CM guidelines for coding substance use disorders, ensuring accurate documentation of the psychotic disorder and hallucinations
  • Include any relevant history of substance use and treatment responses

Exclusion Criteria

Do NOT use F14.951 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Behavioral health assessment

Clinical Scenario

Used during initial evaluation of a patient with cocaine-induced psychotic disorder.

Documentation Requirements

Comprehensive assessment of mental health status and substance use history.

Specialty Considerations

Psychiatric evaluation should include substance use history.

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 psychotic features associated with cocaine use. 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, including the differentiation of psychotic features associated with cocaine use. 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, including the differentiation of psychotic features associated with cocaine use. 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-induced psychotic disorder?

Key symptoms include hallucinations, delusions, agitation, and disorganized thinking, which can occur during intoxication or withdrawal from cocaine.