F14.951
BillableCocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations
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 hallucinations (seeing, hearing, or sensing things that aren't real) caused by the cocaine use.
Coding Tips
- •Specify the type of hallucinations (visual, auditory, tactile) in documentation when available
- •Ensure hallucinations are attributed to cocaine use rather than other psychiatric or medical conditions
Clinical Significance
Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations captures a patient experiencing cocaine-induced hallucinations where the use pattern is not specified. Cocaine hallucinations are characteristically tactile (formication), visual, or auditory, and indicate significant neurotoxicity. This condition can lead to self-injurious behavior, particularly skin excoriation from tactile hallucinations. It maps to the higher-weighted psychosis HCC in V24.
Documentation Requirements
- ✓Documentation of cocaine use
- ✓Clear documentation that hallucinations are cocaine-induced
- ✓Description of hallucination type (tactile, visual, auditory, olfactory)
- ✓Documentation excluding primary psychotic disorders
- ✓Temporal relationship between cocaine use and hallucination onset
- ✓Mental status examination
- ✓Assessment of patient response to hallucinations and safety risk
Commonly Confused Codes
F14.151 — Cocaine abuse with cocaine-induced psychotic disorder with hallucinations: use when abuse is establishedF14.251 — Cocaine dependence with cocaine-induced psychotic disorder with hallucinations: use when dependence is establishedF14.950 — Cocaine use, unspecified with cocaine-induced psychotic disorder with delusions: use when delusions are the primary symptomF14.922 — Cocaine use, unspecified with intoxication with perceptual disturbance: use for transient perceptual changes not meeting psychosis criteriaF14.959 — Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified: use when psychosis type is not specified
Code Hierarchy
└F14Cocaine related disorders└F14.9Cocaine use, unspecified└F14.95Cocaine use, unspecified with cocaine-induced psychotic disorder└F14.951Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations
└F14.951Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations