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ICD-10 Guide
ICD-10 CodesF14.959

F14.959

Billable

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

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

Code Description

ICD-10 F14.959 is a billable code used to indicate a diagnosis of cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified.

Key Diagnostic Point:

F14.959 refers to a condition characterized by the use of cocaine, leading to a psychotic disorder that is not specified further. Cocaine is a powerful stimulant that affects the central nervous system, leading to increased energy, euphoria, and heightened alertness. However, its use can also result in severe psychological effects, including paranoia, hallucinations, and delusions. The diagnosis of cocaine-induced psychotic disorder indicates that the psychotic symptoms are directly attributable to cocaine use, and the unspecified nature of both the cocaine use and the psychotic disorder suggests that there is insufficient detail to classify the severity or specific manifestations of the disorder. Treatment typically involves a combination of behavioral therapies, counseling, and support groups, as well as addressing any co-occurring mental health disorders. It is crucial for healthcare providers to document the patient's history of cocaine use, the onset and duration of psychotic symptoms, and any previous treatment attempts to ensure accurate coding and effective treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of cocaine use and psychotic disorder
  • Variability in symptoms and severity among patients
  • Need for comprehensive documentation to support diagnosis
  • Potential for co-occurring mental health disorders

Audit Risk Factors

  • Inadequate documentation of cocaine use history
  • Failure to specify the nature of psychotic symptoms
  • Lack of evidence for the direct link between cocaine use and psychosis
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including substance use history, mental status examination, and treatment response.

Common Clinical Scenarios

Patients presenting with acute psychosis following cocaine use, chronic users with recurrent psychotic episodes.

Billing Considerations

Consideration of differential diagnoses such as schizophrenia or bipolar disorder, and the need for a comprehensive treatment plan.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use patterns, psychosocial factors, and treatment history.

Common Clinical Scenarios

Patients in withdrawal from cocaine, those seeking treatment for cocaine dependence with psychotic features.

Billing Considerations

Integration of behavioral health interventions and monitoring for co-occurring disorders.

Coding Guidelines

Inclusion Criteria

Use F14.959 When
  • According to ICD
  • 10 guidelines, F14
  • 959 should be used when there is evidence of cocaine use leading to psychotic symptoms, but the specifics of the symptoms are not documented
  • Coders should ensure that the documentation supports the diagnosis and that other potential causes of psychosis are ruled out

Exclusion Criteria

Do NOT use F14.959 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-induced psychosis.

Documentation Requirements

Detailed notes on mental status and substance use history.

Specialty Considerations

Psychiatric evaluations 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 conditions like cocaine-induced psychotic disorder, which 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 conditions like cocaine-induced psychotic disorder, which aids in better treatment planning and resource allocation.

Reimbursement & Billing Impact

reimbursement and to ensure appropriate care.

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 F14.959 and F14.950?

F14.959 includes cocaine-induced psychotic disorder, indicating the presence of psychotic symptoms directly related to cocaine use, while F14.950 is for cocaine use without such symptoms.