F14.222
BillableCocaine dependence with intoxication with perceptual disturbance
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 is dependent on cocaine and is currently intoxicated with distorted perceptions or hallucinations as a result of the drug use.
Coding Tips
- •This code requires documentation of both cocaine dependence and active intoxication with perceptual disturbances
- •Perceptual disturbances may include visual, auditory, or tactile hallucinations during acute cocaine intoxication
Clinical Significance
Cocaine dependence with intoxication with perceptual disturbance indicates a dependent patient experiencing sensory misperceptions during acute intoxication, such as visual trails, tactile hallucinations (formication), or auditory disturbances. While less severe than full psychosis or delirium, perceptual disturbances indicate significant neurotoxicity and can escalate to more serious complications. This condition may require monitored observation and distinguishing from evolving psychosis.
Documentation Requirements
- ✓Provider documentation of cocaine dependence
- ✓Documentation of active intoxication at time of encounter
- ✓Specific description of perceptual disturbances (type and nature of sensory misperceptions)
- ✓Documentation confirming the disturbances are transient and related to intoxication (not a persistent psychotic disorder)
- ✓Vital signs and neurological assessment
- ✓Assessment distinguishing perceptual disturbance from delirium or psychosis
Commonly Confused Codes
F14.220 — Cocaine dependence with intoxication, uncomplicated: use when NO perceptual disturbances are presentF14.221 — Cocaine dependence with intoxication delirium: use when acute confusion/disorientation is the primary featureF14.251 — Cocaine dependence with cocaine-induced psychotic disorder with hallucinations: use when symptoms meet full psychotic disorder criteria beyond transient intoxication effectsF14.122 — Cocaine abuse with intoxication with perceptual disturbance: use when the pattern is abuse rather than dependenceF14.229 — Cocaine dependence with intoxication, unspecified: use when the type of intoxication complication is not specified
Code Hierarchy
└F14Cocaine related disorders└F14.2Cocaine dependence└F14.22Cocaine dependence with intoxication└F14.222Cocaine dependence with intoxication with perceptual disturbance
└F14.222Cocaine dependence with intoxication with perceptual disturbance