Cocaine dependence with intoxication delirium

This code signifies a severe pattern of cocaine use characterized by compulsive drug-seeking and use, coupled with the acute onset of delirium directly attributable to cocaine intoxication. Delirium involves a disturbance in attention, awareness, and cognition that develops over a short period.

Apply this code when documentation clearly indicates a diagnosis of cocaine dependence and the patient is experiencing delirium as a direct result of acute cocaine intoxication. This typically occurs in emergency department settings, inpatient admissions for acute psychiatric crises, or detoxification units. Supporting documentation includes a mental status exam, toxicology screens confirming cocaine presence, and a clear causal link between cocaine use and the delirium.

• Ensure documentation explicitly states "dependence" and not just "abuse" or "use."
• Verify that the delirium is directly linked to cocaine intoxication, not another underlying medical condition or withdrawal.
• Consider sequencing this code as a primary diagnosis if it is the main reason for the encounter, followed by any associated physical complications.