F14.121
BillableCocaine abuse with intoxication with delirium
HCC Category Mapping
V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358V24HCC 55 — Drug/Alcohol Dependence
0.334ESRDHCC 55 — Drug/Alcohol Dependence
0.000What This Code Means
A person abuses cocaine and is currently intoxicated, experiencing confusion and disorientation (delirium) as a result.
Coding Tips
- •Delirium indicates acute mental status changes; document the specific symptoms observed during the intoxication episode
- •This code requires documentation of both active cocaine abuse and current intoxication with delirium
Clinical Significance
Cocaine abuse with intoxication delirium is a medical emergency featuring acute confusion, agitation, and disorientation from cocaine intoxication. Cocaine-induced delirium can present with extreme agitation, hyperthermia, and rhabdomyolysis, and carries a risk of sudden cardiac death. This condition often requires emergency department care with aggressive medical management and cardiovascular monitoring.
Documentation Requirements
- ✓Documentation of cocaine abuse pattern
- ✓Clinical findings of delirium: acute confusion, disorientation, agitation, fluctuating consciousness
- ✓Temporal relationship between cocaine use and delirium onset
- ✓Vital signs including temperature (hyperthermia common)
- ✓Cardiac monitoring and lab results (troponin, CPK for rhabdomyolysis)
- ✓Emergency interventions and treatment provided
- ✓Assessment for excited delirium syndrome
Commonly Confused Codes
F14.120 — Cocaine abuse with intoxication uncomplicated; no delirium presentF14.122 — Cocaine abuse with intoxication perceptual disturbance; hallucinations without full deliriumF14.221 — Cocaine DEPENDENCE with intoxication delirium; when dependence is confirmedF14.150 — Cocaine abuse with psychotic disorder with delusions; psychotic disorder during use, not acute deliriumF15.121 — Other STIMULANT abuse with intoxication delirium; wrong substance category
Code Hierarchy
└F14Cocaine related disorders└F14.1Cocaine abuse└F14.12Cocaine abuse with intoxication└F14.121Cocaine abuse with intoxication with delirium
└F14.121Cocaine abuse with intoxication with delirium