ICD-10-CM Billable Code

F14.951

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

Clinical Classification Guidelines

Medical Intelligence & Overview

Cocaine-induced psychotic disorder with hallucinations is a serious mental health condition triggered by the use of cocaine. This disorder is characterized by the development of psychotic symptoms, such as hallucinations, that are directly related to recent cocaine consumption. The ICD-10 code F14.951 is used by healthcare providers to classify and document cases where an individual experiences psychosis with hallucinations specifically due to cocaine use, without specific details on the type or severity of the disorder.

Causes & Symptoms

Clinical Causes: Use of cocaine, a powerful stimulant drug that affects the central nervous system High doses or prolonged use of cocaine that enhances the likelihood of adverse mental health effects Rapid increase in cocaine dosage or frequency of use Pre-existing mental health conditions that may predispose individuals to psychosis Combining cocaine with other substances, which can increase the risk of psychotic symptoms

Key Symptoms: Hallucinations, often visual or auditory, that are perceived as real Paranoia or suspicious thoughts Episodes of agitation or aggressive behavior Confusion or difficulty concentrating Disturbed sleep patterns Delusions or false beliefs not influenced by external reality Psychomotor agitation or retardation Possible feelings of fear or anxiety

Diagnostic & Treatment

Diagnosis Path: A detailed medical and psychiatric history focusing on recent cocaine use Physical examination to rule out other causes of psychosis Assessment of mental status, including hallucinations and delusional thinking Laboratory tests, such as toxicology screens, to confirm recent cocaine use Imaging studies if needed to rule out neurological causes of hallucinations

Treatment Protocols: Detoxification under medical supervision to safely manage withdrawal symptoms Pharmacological interventions such as antipsychotic medications to control hallucinations and agitation Psychotherapy, including cognitive-behavioral therapy (CBT), to address underlying substance use and mental health issues Support groups and counseling to promote abstinence from cocaine and prevent relapse Monitoring and managing any co-occurring mental health disorders Providing education about the risks associated with cocaine use

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 F14.951 a billable ICD-10 code?
Yes, F14.951 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report F14.951?
Clinical documentation must specify the nature of Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations and any associated comorbidities for accurate reporting.

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