Cocaine abuse with intoxication, unspecified

This diagnosis code signifies a pattern of problematic cocaine use leading to clinically significant impairment or distress, specifically when the patient is experiencing the acute effects of cocaine intoxication. It indicates that the specific manifestation of the intoxication (e.g., delirium, perceptual disturbances) is not documented.

Apply this code when a patient presents with symptoms of acute cocaine intoxication, and their medical record clearly indicates a history or current pattern of cocaine abuse. Documentation should support a diagnosis of abuse (e.g., continued use despite negative consequences, failure to fulfill major role obligations) alongside the acute intoxication.

• Ensure documentation differentiates between abuse and dependence; this code is specific to abuse.
• If the specific intoxication manifestation (e.g., delirium, psychosis) is documented, a more specific F14.12x subcategory should be used.
• Always sequence this code as a secondary diagnosis if an acute medical condition directly caused by the intoxication (e.g., myocardial infarction) is the primary reason for the encounter.