F14.259
BillableCocaine dependence 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 is dependent on cocaine and is experiencing psychosis caused by cocaine use, but the specific type (delusions or hallucinations) is not documented.
Coding Tips
- •This is a less specific code; query the provider for clarification on whether delusions, hallucinations, or both are present
- •Use only when the type of psychotic symptoms cannot be determined from documentation
Clinical Significance
Cocaine dependence with cocaine-induced psychotic disorder, unspecified captures the presence of cocaine-induced psychosis in a dependent patient without specification of whether the symptoms are delusions or hallucinations. While this still reflects a high-acuity condition requiring urgent psychiatric care, the unspecified nature represents a documentation opportunity. Providers should be queried to determine the specific psychotic symptom type for more precise coding.
Documentation Requirements
- ✓Provider documentation of cocaine dependence
- ✓Statement that psychotic symptoms are cocaine-induced
- ✓Documentation of psychotic symptoms present (even without specifying type)
- ✓Exclusion of primary psychotic disorders
- ✓Temporal relationship between cocaine use and psychosis onset
- ✓Mental status examination documenting psychotic features
- ✓Safety assessment
Commonly Confused Codes
F14.250 — Cocaine dependence with cocaine-induced psychotic disorder with delusions: preferred when delusions are documentedF14.251 — Cocaine dependence with cocaine-induced psychotic disorder with hallucinations: preferred when hallucinations are documentedF14.159 — Cocaine abuse with cocaine-induced psychotic disorder, unspecified: use when the pattern is abuseF14.222 — Cocaine dependence with intoxication with perceptual disturbance: use for transient perceptual disturbance without full psychosisF14.959 — Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified: use when abuse vs. dependence is unclear
Code Hierarchy
└F14Cocaine related disorders└F14.2Cocaine dependence└F14.25Cocaine dependence with cocaine-induced psychotic disorder└F14.259Cocaine dependence with cocaine-induced psychotic disorder, unspecified
└F14.259Cocaine dependence with cocaine-induced psychotic disorder, unspecified