Cocaine abuse with cocaine-induced mood disorder

This code signifies a pattern of problematic cocaine use leading to clinically significant impairment or distress, specifically accompanied by a mood disturbance directly attributable to the physiological effects of cocaine. The mood disorder could manifest as depressive symptoms, elevated mood, or mixed features.

Apply this code when a patient's medical record clearly documents a diagnosis of cocaine abuse and a co-occurring mood disorder determined by the clinician to be induced by cocaine use. Supporting documentation should include evidence of problematic cocaine use and a diagnostic assessment linking the mood symptoms to the substance.

• Ensure the documentation explicitly states "abuse" of cocaine, not dependence, as this impacts the fourth character.
• Verify the clinician has established a direct causal link between cocaine use and the mood disorder, ruling out other etiologies.
• Sequence this code first when it is the primary reason for the encounter, followed by any other relevant mental health or physical conditions.