F14.150
BillableCocaine abuse with cocaine-induced psychotic disorder with delusions
HCC Category Mapping
V28HCC 135 — Drug/Alcohol Psychosis
0.000V24HCC 54 — Drug/Alcohol Psychosis
0.434ESRDHCC 54 — Drug/Alcohol Psychosis
0.000What This Code Means
A person who abuses cocaine and experiences psychotic symptoms, specifically false beliefs (delusions) caused by the cocaine use.
Coding Tips
- •Verify documentation clearly states cocaine abuse (not dependence) and that delusions are cocaine-induced
- •Do not use this code if the psychotic disorder existed before cocaine use began
Clinical Significance
Cocaine abuse with cocaine-induced psychotic disorder with delusions represents a serious psychiatric complication of cocaine use. The patient has developed fixed false beliefs directly attributable to cocaine, such as paranoid delusions of persecution. This is a higher-acuity condition than simple intoxication or mood disturbance, indicating significant neurotoxicity. Cocaine-induced psychosis with delusions may require psychiatric hospitalization, antipsychotic treatment, and carries risk for violent behavior driven by paranoid ideation.
Documentation Requirements
- ✓Provider documentation of cocaine abuse (not dependence)
- ✓Clear documentation that the psychotic disorder is induced by cocaine use
- ✓Specific description of delusions present (paranoid, grandiose, referential, somatic, etc.)
- ✓Documentation ruling out primary psychotic disorders (e.g., Schizophrenia, Schizoaffective Disorder, Delusional Disorder)
- ✓Temporal relationship between cocaine use and onset of delusions
- ✓Mental status examination findings supporting presence of delusions
- ✓Assessment of danger to self or others due to delusional content
Commonly Confused Codes
F14.151 — Cocaine abuse with cocaine-induced psychotic disorder with hallucinations: use when the primary psychotic symptom is hallucinations rather than delusionsF14.159 — Cocaine abuse with cocaine-induced psychotic disorder, unspecified: use when psychosis is present but the specific type cannot be determinedF14.122 — Cocaine abuse with intoxication with perceptual disturbance: use for transient perceptual changes during intoxication that do not meet psychotic disorder criteriaF14.250 — Cocaine dependence with cocaine-induced psychotic disorder with delusions: use when the pattern is dependence rather than abuseF22 — Delusional disorders: use only when the delusions are a primary condition, not substance-induced
Code Hierarchy
└F14Cocaine related disorders└F14.1Cocaine abuse└F14.15Cocaine abuse with cocaine-induced psychotic disorder└F14.150Cocaine abuse with cocaine-induced psychotic disorder with delusions
└F14.150Cocaine abuse with cocaine-induced psychotic disorder with delusions