ICD-10-CM Billable Code

F14.959

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

Clinical Classification Guidelines

Inclusion Terms

  • Cocaine induced psychotic disorder, without use disorder

Medical Intelligence & Overview

Cocaine-induced psychotic disorder (ICD-10 code F14.959) is a mental health condition triggered by the use of cocaine. Unlike general cocaine use or addiction, this disorder specifically involves the development of psychotic symptoms as a result of cocaine's effects on the brain. It can occur even in individuals who do not have an ongoing substance use disorder, making it important to recognize and understand the symptoms and potential impacts related to cocaine's influence on mental health.

Causes & Symptoms

Clinical Causes: Use of cocaine, a powerful stimulant drug that affects the central nervous system High doses or frequent use of cocaine leading to abnormal brain activity Psychological factors, including individual vulnerability or pre-existing mental health conditions Rapid onset of intense psychotic symptoms after cocaine consumption

Key Symptoms: Auditory hallucinations: hearing voices or sounds that are not present Visual hallucinations: seeing objects, people, or lights that are not real Paranoia: persistent feelings of suspicion or distrust towards others Delusions: false beliefs that are not based in reality Agitation or restlessness Confused or disorganized thinking Potentially violent or aggressive behaviors Emotional disturbances such as paranoia or fear

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a detailed clinical evaluation by a healthcare professional, including a review of the patient's substance use history and mental health symptoms. Medical providers may perform physical examinations, laboratory tests, and psychological assessments to rule out other causes of psychosis. Since this disorder is linked specifically to cocaine use without a persistent use disorder, the emphasis is on recent substance intake and recent onset of symptoms. Medical history and the timing of symptom onset relative to cocaine use are crucial for accurate diagnosis.

Treatment Protocols: Monitoring and supportive care to ensure safety during acute episodes Psychiatric medication, such as antipsychotics, to alleviate hallucinations and delusions Psychotherapy approaches like cognitive-behavioral therapy (CBT) to help process experiences and develop coping strategies Education on the effects of cocaine and strategies for avoiding future use Counseling and support to address underlying psychological or emotional issues In some cases, inpatient hospitalization may be necessary, especially if symptoms are severe or pose risks to the individual or others

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 F14.959 a billable ICD-10 code?
Yes, F14.959 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report F14.959?
Clinical documentation must specify the nature of Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified and any associated comorbidities for accurate reporting.

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