F14.250
Cocaine dependence with cocaine-induced psychotic disorder with delusions
Clinical Classification Guidelines
Medical Intelligence & Overview
ICD-10 code F14.250 refers to a condition characterized by a dependence on cocaine accompanied by a cocaine-induced psychotic disorder with delusions. Cocaine dependence is a chronic, relapsing disorder marked by an intense desire to use cocaine, difficulty controlling intake, and withdrawal symptoms when not using. When cocaine use leads to psychotic symptoms, such as delusions, it indicates a serious mental health complication triggered by the substance. This condition requires comprehensive understanding for effective management and awareness.
Causes & Symptoms
Clinical Causes: Prolonged and heavy use of cocaine Genetic predisposition to substance dependence and psychosis History of mental health disorders Environmental stressors and peer influence Extended exposure to high doses of cocaine
Key Symptoms: Persistent delusions related to paranoia, grandeur, or persecution Hallucinations, typically auditory or visual Erratic behavior and agitation Anxiety and paranoia Disorganized thoughts and speech Potential agitation or aggression Physical signs such as dilated pupils, increased heart rate, and elevated blood pressure
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a thorough clinical assessment by healthcare professionals, including a detailed history of cocaine use and psychiatric evaluation. Doctors may perform physical examinations and order laboratory tests to confirm recent cocaine use. Mental health assessments aim to identify signs of psychosis and distinguish between primary psychotic disorders and substance-induced conditions.
Treatment Protocols: Detoxification and withdrawal management under medical supervision Psychiatric medications such as antipsychotics to control delusions and hallucinations Behavioral therapy, including cognitive-behavioral therapy (CBT), to modify drug-using behaviors Support groups and addiction counseling to promote abstinence Long-term psychological support to prevent relapse Monitoring and treating any co-occurring mental health conditions
Clinical Advice & FAQs
Billing Guidance
Is F14.250 a billable ICD-10 code?
Yes, F14.250 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report F14.250?
Clinical documentation must specify the nature of Cocaine dependence with cocaine-induced psychotic disorder with delusions and any associated comorbidities for accurate reporting.
Cite this Clinical Reference