F14.251

Billable

Cocaine dependence 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 is dependent on cocaine and is experiencing psychosis with hallucinations (seeing, hearing, or feeling things that aren't real) caused by the cocaine use.

Coding Tips

•Document the type of hallucinations present (visual, auditory, tactile) in the clinical record
•Ensure documentation clearly links the hallucinations to cocaine use rather than other causes

Clinical Significance

Cocaine dependence with cocaine-induced psychotic disorder with hallucinations indicates a dependent patient experiencing hallucinations directly caused by cocaine. Cocaine-related hallucinations are characteristically tactile (formication — the sensation of insects crawling under the skin) but can also be visual or auditory. This is a psychiatric emergency that may lead to self-injurious behavior (e.g., skin picking in response to tactile hallucinations) and requires both psychiatric stabilization and substance use treatment.

Documentation Requirements

✓Provider documentation of cocaine dependence
✓Clear documentation that hallucinations are cocaine-induced
✓Description of hallucination type (tactile, visual, auditory, olfactory)
✓Mental status examination documenting hallucinatory experiences
✓Documentation excluding primary psychotic disorders
✓Temporal relationship between cocaine use and hallucination onset
✓Assessment of patient response to hallucinations (behavioral changes, self-harm risk)
✓Evidence of any physical harm from hallucination-driven behavior (skin excoriation from formication)

Commonly Confused Codes

F14.250 — Cocaine dependence with cocaine-induced psychotic disorder with delusions: use when delusions are the primary symptom F14.222 — Cocaine dependence with intoxication with perceptual disturbance: use for transient perceptual changes during intoxication not meeting psychosis criteria F14.151 — Cocaine abuse with cocaine-induced psychotic disorder with hallucinations: use when the pattern is abuse F14.259 — Cocaine dependence with cocaine-induced psychotic disorder, unspecified: use when psychosis type is not specified F20.x — Schizophrenia: use when hallucinations are from primary psychotic disorder

Code Hierarchy

└F14.251Cocaine dependence with cocaine-induced psychotic disorder with hallucinations