Cocaine dependence w intoxication w perceptual disturbance

This code signifies a patient diagnosed with a dependence on cocaine, characterized by a compulsive pattern of use despite harmful consequences. The dependence is currently accompanied by acute cocaine intoxication, which is further complicated by perceptual disturbances such as illusions, hallucinations, or other sensory distortions.

Apply this code when documentation clearly indicates a diagnosis of cocaine dependence and the patient is currently experiencing acute intoxication with associated perceptual disturbances. This would be appropriate for patients presenting to the emergency department or inpatient psychiatric units with these specific symptoms. Supporting documentation includes physician notes detailing the substance use disorder, current intoxication, and specific mention of perceptual disturbances.

• Ensure documentation differentiates between cocaine abuse and dependence; this code is specific to dependence.
• Verify the presence of perceptual disturbances as opposed to other intoxication symptoms without sensory distortions.
• Consider sequencing this code as the primary diagnosis if it is the main reason for the encounter, followed by any related physical or mental health conditions.