F14.151

Billable

Cocaine abuse with cocaine-induced psychotic disorder with hallucinations

HCC Category Mapping

V28HCC 135 — Drug/Alcohol Psychosis

0.000

V24HCC 54 — Drug/Alcohol Psychosis

0.434

ESRDHCC 54 — Drug/Alcohol Psychosis

0.000

What This Code Means

A person who abuses cocaine and experiences psychotic symptoms, specifically seeing or hearing things that aren't real (hallucinations) caused by the cocaine use.

Coding Tips

•Ensure documentation specifies hallucinations as the primary psychotic symptom and links them to cocaine abuse
•Distinguish from delusions (F14.150) by confirming the type of psychotic manifestation

Clinical Significance

Cocaine abuse with cocaine-induced psychotic disorder with hallucinations indicates the patient is experiencing sensory perceptions without external stimuli, directly caused by cocaine use. Cocaine-induced hallucinations are often tactile (formication or 'coke bugs'), visual, or auditory, and distinguish this from the more benign perceptual disturbances seen during simple intoxication. This represents a serious psychiatric emergency that may require acute stabilization and carries risk for self-injurious behavior driven by hallucinatory experiences.

Documentation Requirements

✓Provider documentation of cocaine abuse (not dependence) pattern
✓Clear documentation that the psychotic disorder is cocaine-induced
✓Description of the type of hallucinations (visual, auditory, tactile, olfactory)
✓Documentation excluding primary psychotic disorders as the etiology
✓Temporal relationship between cocaine use and hallucination onset
✓Mental status examination documenting hallucinatory experiences
✓Safety assessment regarding response to hallucinations

Commonly Confused Codes

F14.150 — Cocaine abuse with cocaine-induced psychotic disorder with delusions: use when primary psychotic symptom is false beliefs rather than hallucinations F14.122 — Cocaine abuse with intoxication with perceptual disturbance: use for less severe sensory misperceptions during intoxication that do not constitute a full psychotic disorder F14.251 — Cocaine dependence with cocaine-induced psychotic disorder with hallucinations: use when the pattern is dependence rather than abuse F14.159 — Cocaine abuse with cocaine-induced psychotic disorder, unspecified: use when the specific psychotic symptom type is not documented F20.x — Schizophrenia: use only when hallucinations are from a primary psychotic disorder, not substance-induced

Code Hierarchy

└F14.151Cocaine abuse with cocaine-induced psychotic disorder with hallucinations