F14.122

Billable

Cocaine abuse with intoxication with perceptual disturbance

HCC Category Mapping

V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe

0.358

V24HCC 55 — Drug/Alcohol Dependence

0.334

ESRDHCC 55 — Drug/Alcohol Dependence

0.000

What This Code Means

A person abuses cocaine and is currently intoxicated, experiencing hallucinations or other distorted perceptions.

Coding Tips

•Perceptual disturbance includes hallucinations, illusions, or other sensory misperceptions during cocaine intoxication
•Document the specific type of perceptual disturbance if possible (visual, auditory, tactile, etc.)

Clinical Significance

Cocaine abuse with intoxication featuring perceptual disturbance represents an acute, complicated presentation that indicates the patient's cocaine use has escalated to produce sensory misperceptions such as hallucinations or illusions. This is clinically significant because perceptual disturbances during cocaine intoxication can signal neurotoxicity and increase the risk of dangerous behavior, self-harm, or progression to cocaine-induced psychosis. Accurate capture is essential for risk adjustment as it reflects higher acuity substance use requiring more intensive monitoring and treatment resources.

Documentation Requirements

✓Provider must document cocaine as the specific substance being abused
✓Documentation must establish abuse pattern (not dependence) per DSM-5 criteria
✓Active intoxication at the time of encounter must be noted
✓Specific perceptual disturbances must be described (e.g., visual hallucinations, tactile hallucinations such as formication, auditory disturbances)
✓Temporal relationship between cocaine use and onset of perceptual disturbance must be established
✓Assessment ruling out primary psychotic disorder as the cause of perceptual disturbance

Commonly Confused Codes

F14.120 — Cocaine abuse with intoxication, uncomplicated: use when intoxication is present but NO perceptual disturbance or delirium is documented F14.121 — Cocaine abuse with intoxication delirium: use when confusion/disorientation (delirium) is the primary feature rather than perceptual disturbance alone F14.150 — Cocaine abuse with cocaine-induced psychotic disorder with delusions: use when the perceptual symptoms have evolved into a full psychotic disorder with fixed false beliefs F14.222 — Cocaine dependence with intoxication with perceptual disturbance: use when the pattern meets criteria for dependence rather than abuse F14.129 — Cocaine abuse with intoxication, unspecified: less specific code when perceptual disturbance is not documented

Code Hierarchy

└F14.122Cocaine abuse with intoxication with perceptual disturbance