Cocaine abuse with cocaine-induced sleep disorder

This code signifies a pattern of problematic cocaine use leading to clinically significant impairment or distress, specifically manifesting as a sleep disturbance directly attributable to the cocaine use. The patient experiences symptoms such as insomnia, hypersomnia, or circadian rhythm disruption as a direct pharmacological effect of cocaine. This diagnosis indicates that the sleep disorder is not an independent condition but rather a consequence of the substance abuse.

Use this code when documentation clearly indicates a diagnosis of cocaine abuse and a co-occurring sleep disorder that is determined by the clinician to be induced by the cocaine use. This typically applies to patients presenting with sleep complaints where a thorough history and clinical assessment link these symptoms directly to their cocaine consumption patterns. Documentation should specify both the substance abuse and the causal link to the sleep disturbance.

• Ensure the documentation explicitly states "cocaine-induced sleep disorder" or similar language indicating a direct causal link.
• Do not use this code if the sleep disorder is pre-existing or determined to be an independent condition, even if the patient also abuses cocaine.
• Consider sequencing this code as the primary diagnosis if the cocaine-induced sleep disorder is the main reason for the encounter, otherwise, it may be a secondary diagnosis.