Cocaine abuse with intoxication with perceptual disturbance

This code signifies a pattern of problematic cocaine use leading to clinically significant impairment or distress, specifically characterized by acute intoxication accompanied by sensory distortions or hallucinations. The individual is actively experiencing the effects of cocaine, and these effects include altered perceptions of reality.

Apply this code when documentation clearly indicates cocaine abuse (not dependence) and an acute episode of intoxication where the patient exhibits perceptual disturbances such as illusions, hallucinations, or other sensory distortions. This diagnosis requires evidence of both the abuse pattern and the specific intoxicated state with perceptual changes.

• Differentiate from cocaine dependence (F14.2-) and uncomplicated intoxication (F14.121).
• Ensure documentation specifies "abuse" rather than "use" or "dependence" and explicitly mentions perceptual disturbances during intoxication.
• Sequence this code as a primary diagnosis when it is the reason for the encounter, or as a secondary diagnosis when it contributes to the patient's overall clinical picture.