ICD-10-CM Billable Code

F14.180

Cocaine abuse with cocaine-induced anxiety disorder

Clinical Classification Guidelines

Medical Intelligence & Overview

Cocaine abuse with cocaine-induced anxiety disorder, classified under ICD-10 code F14.180, refers to a condition where an individual misuses cocaine and develops anxiety symptoms directly attributable to its use. Cocaine is a powerful stimulant drug that affects the central nervous system, leading to a range of physical and psychological effects. When misused, it can cause addictive behaviors and mental health issues, including anxiety disorders that emerge due to the drug's influence on brain chemistry.

Causes & Symptoms

Clinical Causes: Repeated or high-dose use of cocaine Intensive or prolonged usage leading to neurochemical imbalances Genetic predisposition to substance abuse or anxiety disorders Psychosocial stressors that may trigger or exacerbate substance misuse Environmental factors, such as peer influence or availability of the drug

Key Symptoms: Restlessness and agitation Elevated heart rate and blood pressure Feelings of intense worry or fear Obsessive thoughts related to anxiety Difficulty sleeping or insomnia Psychomotor agitation or tension Tremors or nervous movements Physical sensations like chest tightness or shortness of breath Irritability or mood swings Potential panic attacks during or after cocaine use

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a detailed clinical evaluation by a healthcare professional, focusing on the patient's history of drug use and mental health symptoms. Mental health assessments and laboratory tests, such as urine drug screens, may be used to confirm recent cocaine use. The clinician differentiates between cocaine-induced anxiety and other anxiety disorders, considering the temporal relationship between drug consumption and symptom onset. In some cases, psychiatric evaluations help determine the severity of symptoms and guide treatment planning.

Treatment Protocols: Treatment strategies typically address both cocaine misuse and associated anxiety symptoms. Approaches may include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is F14.180 a billable ICD-10 code?
Yes, F14.180 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report F14.180?
Clinical documentation must specify the nature of Cocaine abuse with cocaine-induced anxiety disorder and any associated comorbidities for accurate reporting.

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