F14.959

HCC Category Mapping

What This Code Means

A person using cocaine who develops psychotic symptoms such as hallucinations or delusions, but the specific type of psychotic disorder is not specified.

Coding Tips

• •Use this code when cocaine use is documented but the severity level (mild, moderate, severe) is unclear
• •If the specific psychotic disorder type is documented (e.g., paranoid), consider using a more specific code if available

Clinical Significance

Cocaine use, unspecified with cocaine-induced psychotic disorder, unspecified is the least specific cocaine psychosis code, with both the use pattern and psychosis type unspecified. Despite this, it still reflects a serious psychiatric complication of cocaine use requiring acute intervention. The lack of specificity represents two documentation gaps: the use pattern (abuse vs. dependence) and the psychotic symptom type (delusions vs. hallucinations). Both should be clarified through provider query.

Documentation Requirements

• ✓Documentation of cocaine use
• ✓Statement that psychotic symptoms are cocaine-induced
• ✓Documentation that psychotic features are present (even without specifying type)
• ✓Exclusion of primary psychotic disorders
• ✓Temporal relationship between cocaine use and psychosis onset
• ✓Mental status examination
• ✓Safety assessment

Commonly Confused Codes