F14.282
BillableCocaine dependence 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 is dependent on cocaine and has developed a sleep disorder (such as insomnia or sleep disturbance) caused by the cocaine use.
Coding Tips
- •Document the specific sleep disturbance (insomnia, hypersomnia, nightmares, etc.) when available
- •Sleep disorders are common in cocaine dependence due to the stimulant effects of the drug
Clinical Significance
Cocaine dependence with cocaine-induced sleep disorder reflects chronic sleep disruption caused by cocaine's stimulant effects in a dependent patient. Cocaine use causes insomnia during active use and hypersomnia during crash periods and withdrawal. Chronic sleep disruption in dependent patients contributes to cognitive impairment, mood instability, impaired decision-making, and significantly increases relapse risk. Sleep disorders may persist for weeks to months after cocaine cessation due to neuroadaptive changes.
Documentation Requirements
- ✓Provider documentation of cocaine dependence
- ✓Specific sleep disorder documented (insomnia, hypersomnia, circadian rhythm disruption, parasomnias)
- ✓Causal relationship between cocaine dependence and sleep disorder established
- ✓Documentation ruling out primary sleep disorders (obstructive sleep apnea, narcolepsy, restless leg syndrome)
- ✓Impact on daily functioning and recovery efforts
- ✓Whether sleep disturbance occurs during active use, withdrawal, or both phases
Commonly Confused Codes
F14.182 — Cocaine abuse with cocaine-induced sleep disorder: use when the pattern is abuseG47.00 — Insomnia, unspecified: use when insomnia is not cocaine-relatedF14.23 — Cocaine dependence with withdrawal: withdrawal commonly includes sleep disturbance but codes differentlyF14.982 — Cocaine use, unspecified with cocaine-induced sleep disorder: use when abuse vs. dependence is unclearF14.288 — Cocaine dependence with other cocaine-induced disorder: use for other induced conditions
Code Hierarchy
└F14Cocaine related disorders└F14.2Cocaine dependence└F14.28Cocaine dependence with other cocaine-induced disorder└F14.282Cocaine dependence with cocaine-induced sleep disorder
└F14.282Cocaine dependence with cocaine-induced sleep disorder