F14.120

HCC Category Mapping

What This Code Means

This code describes a patient who is abusing cocaine and is currently intoxicated from it, without any serious complications like seizures or other medical emergencies. It indicates active cocaine use disorder with acute intoxication.

Coding Tips

• •Verify documentation clearly states both cocaine abuse AND intoxication to justify this specific code; if only abuse is documented without current intoxication, use F14.10 instead
• •This code is for uncomplicated intoxication; if the patient has complications such as anxiety, paranoia, or other mental health effects from the intoxication, use a more specific code like F14.121 or F14.122

Clinical Significance

Cocaine abuse with uncomplicated intoxication indicates a patient who abuses cocaine and is currently under the influence. Acute cocaine intoxication presents with sympathomimetic effects including tachycardia, hypertension, mydriasis, and euphoria. This is a medical concern due to the cardiovascular risks of cocaine intoxication including myocardial infarction, stroke, and arrhythmias.

Documentation Requirements

• ✓Documentation of cocaine abuse pattern
• ✓Clinical findings of cocaine intoxication (tachycardia, hypertension, mydriasis, agitation, euphoria)
• ✓Confirmation that delirium or perceptual disturbances are NOT present
• ✓Vital signs during the intoxication episode
• ✓Cardiac monitoring if indicated
• ✓Assessment for cardiovascular complications (chest pain, arrhythmia)

Commonly Confused Codes