Cocaine abuse with intoxication with delirium

This code signifies a pattern of problematic cocaine use leading to clinically significant impairment or distress, specifically characterized by acute intoxication and the presence of delirium. Delirium, in this context, is an acute disturbance in attention and cognition directly attributable to the effects of cocaine.

Use this code when documentation clearly indicates a diagnosis of cocaine abuse, accompanied by symptoms of acute cocaine intoxication, and a concurrent diagnosis of delirium. The delirium must be directly linked to the intoxicating effects of cocaine, as opposed to an underlying medical condition or withdrawal.

• Ensure documentation explicitly states "abuse" of cocaine, not "dependence," as this affects the fourth character.
• Verify that delirium is documented as present and directly caused by the cocaine intoxication.
• Do not use this code if the delirium is due to cocaine withdrawal; a different code would be appropriate in that scenario.