F14.982

Billable

Cocaine use, unspecified with cocaine-induced sleep disorder

HCC Category Mapping

V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe

0.358

V24HCC 55 — Drug/Alcohol Dependence

0.334

ESRDHCC 55 — Drug/Alcohol Dependence

0.000

What This Code Means

Cocaine use that causes sleep problems such as insomnia, nightmares, or other sleep disturbances.

Coding Tips

•Distinguish between sleep problems during intoxication versus withdrawal phases
•Document the specific sleep disturbance if available (insomnia, hypersomnia, etc.)

Clinical Significance

Cocaine use, unspecified with cocaine-induced sleep disorder captures sleep disruption directly caused by cocaine use in a patient whose use pattern is not specified. Cocaine is a potent central nervous system stimulant that profoundly disrupts sleep architecture, causing insomnia during use and rebound hypersomnia during withdrawal. Chronic sleep disruption contributes to cognitive impairment, mood instability, and impaired immune function, compounding the health effects of cocaine use.

Documentation Requirements

✓Documentation of cocaine use
✓Specific sleep disorder documented (insomnia, hypersomnia, circadian rhythm disruption)
✓Causal relationship between cocaine use and the sleep disorder
✓Documentation ruling out primary sleep disorders
✓Whether sleep disruption occurs during active use, withdrawal, or both
✓Impact on daily functioning

Commonly Confused Codes

F14.182 — Cocaine abuse with cocaine-induced sleep disorder: use when abuse is established F14.282 — Cocaine dependence with cocaine-induced sleep disorder: use when dependence is established G47.00 — Insomnia, unspecified: use when insomnia is not cocaine-related F14.93 — Cocaine use, unspecified with withdrawal: withdrawal includes sleep disturbance but codes differently F14.988 — Cocaine use, unspecified with other cocaine-induced disorder: use for other induced conditions

Code Hierarchy

└F14.982Cocaine use, unspecified with cocaine-induced sleep disorder