F14.950
BillableCocaine use, unspecified with cocaine-induced psychotic disorder with delusions
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 using cocaine who is experiencing psychosis with delusions (false beliefs) caused by the cocaine use.
Coding Tips
- •Document that delusions are present and directly related to cocaine use
- •Distinguish from primary psychotic disorders; cocaine-induced psychosis typically resolves with abstinence
Clinical Significance
Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions captures a high-acuity condition where cocaine causes delusions in a patient whose use pattern (abuse vs. dependence) is not specified. Cocaine-induced delusions are frequently paranoid in nature and can drive violent behavior, treatment refusal, and emergency psychiatric intervention. This code maps to the higher-weighted psychosis HCC (54) in V24, making accurate capture important for risk adjustment.
Documentation Requirements
- ✓Documentation of cocaine use
- ✓Clear documentation that the psychotic disorder is cocaine-induced
- ✓Specific description of delusions (paranoid, grandiose, persecutory, etc.)
- ✓Documentation ruling out primary psychotic disorders
- ✓Temporal relationship between cocaine use and delusion onset
- ✓Mental status examination documenting delusional thinking
- ✓Safety assessment regarding delusional content
Commonly Confused Codes
F14.150 — Cocaine abuse with cocaine-induced psychotic disorder with delusions: use when abuse is establishedF14.250 — Cocaine dependence with cocaine-induced psychotic disorder with delusions: use when dependence is establishedF14.951 — Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations: use when hallucinations are the primary symptomF14.959 — Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified: use when the psychosis type is not specifiedF22 — Delusional disorders: use for primary delusional disorder, not substance-induced
Code Hierarchy
└F14Cocaine related disorders└F14.9Cocaine use, unspecified└F14.95Cocaine use, unspecified with cocaine-induced psychotic disorder└F14.950Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions
└F14.950Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions