F14.129

Billable

Cocaine abuse with intoxication, unspecified

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, but the specific symptoms or complications of the intoxication are not specified.

Coding Tips

•Use this code when intoxication is documented but delirium or perceptual disturbances are not specifically mentioned
•Review documentation to see if F14.121 or F14.122 would be more specific and appropriate

Clinical Significance

This code captures cocaine abuse with intoxication where the specific type of intoxication complication is not documented. It reflects an encounter where the patient is actively intoxicated from cocaine but the provider has not specified whether delirium, perceptual disturbance, or no complications are present. Clinically, any cocaine intoxication warrants monitoring for cardiovascular complications, seizures, and behavioral instability. This unspecified code represents a missed opportunity for more precise documentation.

Documentation Requirements

✓Provider documentation of cocaine as the substance of abuse
✓Clinical pattern consistent with abuse (not dependence) per DSM-5 criteria
✓Documentation of active intoxication at the time of the encounter
✓Clinical signs of intoxication (tachycardia, hypertension, euphoria, agitation, dilated pupils)
✓Statement that specific complications of intoxication are not further specified or cannot be determined

Commonly Confused Codes

F14.120 — Cocaine abuse with intoxication, uncomplicated: more specific code when provider confirms NO complications like delirium or perceptual disturbances F14.122 — Cocaine abuse with intoxication with perceptual disturbance: use when hallucinations or sensory misperceptions are documented F14.121 — Cocaine abuse with intoxication delirium: use when confusion or disorientation accompanies the intoxication F14.229 — Cocaine dependence with intoxication, unspecified: use when the substance use pattern meets dependence criteria rather than abuse

Code Hierarchy

└F14.129Cocaine abuse with intoxication, unspecified