F14.159
BillableCocaine abuse with cocaine-induced psychotic disorder, unspecified
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, but the specific type of psychotic symptom is not clearly documented.
Coding Tips
- •Use this code only when psychotic disorder is documented but neither delusions nor hallucinations are specifically identified
- •Query the provider if possible to determine the specific psychotic manifestation for more precise coding
Clinical Significance
This code captures cocaine abuse with cocaine-induced psychotic disorder where the specific type of psychotic symptom (delusions vs. hallucinations) is not documented. While it reflects a serious psychiatric complication of cocaine use, the unspecified nature indicates a documentation gap. Cocaine-induced psychosis is a high-acuity condition regardless of specification, and carries significant risk for violent behavior, self-harm, and need for inpatient psychiatric care.
Documentation Requirements
- ✓Provider documentation of cocaine abuse pattern
- ✓Statement that psychotic symptoms are cocaine-induced
- ✓Documentation of psychotic symptoms present (even if not specified as delusions or hallucinations)
- ✓Exclusion of primary psychotic disorders as the etiology
- ✓Temporal relationship between cocaine use and psychotic symptom onset
- ✓Mental status examination supporting the presence of psychosis
Commonly Confused Codes
F14.150 — Cocaine abuse with cocaine-induced psychotic disorder with delusions: preferred when delusions are specifically documentedF14.151 — Cocaine abuse with cocaine-induced psychotic disorder with hallucinations: preferred when hallucinations are specifically documentedF14.122 — Cocaine abuse with intoxication with perceptual disturbance: lower-acuity code for perceptual changes not meeting psychosis criteriaF14.259 — Cocaine dependence with cocaine-induced psychotic disorder, unspecified: use when pattern is dependence
Code Hierarchy
└F14Cocaine related disorders└F14.1Cocaine abuse└F14.15Cocaine abuse with cocaine-induced psychotic disorder└F14.159Cocaine abuse with cocaine-induced psychotic disorder, unspecified
└F14.159Cocaine abuse with cocaine-induced psychotic disorder, unspecified