F14.182
BillableCocaine abuse with cocaine-induced sleep disorder
HCC Category Mapping
V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358V24HCC 55 — Drug/Alcohol Dependence
0.334ESRDHCC 55 — Drug/Alcohol Dependence
0.000What This Code Means
A person who abuses cocaine and develops sleep problems (insomnia or other sleep disturbances) caused by the cocaine use.
Coding Tips
- •Verify documentation attributes the sleep disorder to cocaine abuse rather than other causes
- •Cocaine typically causes insomnia; document the specific sleep disturbance if possible
Clinical Significance
Cocaine abuse with cocaine-induced sleep disorder reflects the significant impact cocaine has on sleep architecture. Cocaine's stimulant properties commonly cause insomnia during use and hypersomnia during withdrawal periods. Chronic disruption of sleep contributes to cognitive impairment, mood instability, and relapse risk. This code captures a recognized complication of cocaine abuse that often requires targeted treatment intervention beyond substance abuse counseling alone.
Documentation Requirements
- ✓Provider documentation of cocaine abuse pattern
- ✓Specific sleep disturbance documented (insomnia, hypersomnia, circadian rhythm disruption, nightmares)
- ✓Causal relationship between cocaine use and the sleep disorder established
- ✓Documentation ruling out primary sleep disorders (obstructive sleep apnea, restless leg syndrome)
- ✓Impact of sleep disturbance on daily functioning and recovery
- ✓Timeline of sleep disorder relative to cocaine use pattern
Commonly Confused Codes
F14.282 — Cocaine dependence with cocaine-induced sleep disorder: use when the pattern is dependenceG47.00 — Insomnia, unspecified: use when insomnia is not related to cocaine useF14.13 — Cocaine abuse with withdrawal: withdrawal commonly includes sleep disturbance but is coded separatelyF14.982 — Cocaine use, unspecified with cocaine-induced sleep disorder: use when abuse vs. dependence is unclearF14.188 — Cocaine abuse with other cocaine-induced disorder: use for other induced conditions not specifically categorized
Code Hierarchy
└F14Cocaine related disorders└F14.1Cocaine abuse└F14.18Cocaine abuse with other cocaine-induced disorder└F14.182Cocaine abuse with cocaine-induced sleep disorder
└F14.182Cocaine abuse with cocaine-induced sleep disorder