Cocaine dependence with cocaine-induced sleep disorder

This code signifies a severe pattern of cocaine use characterized by compulsive drug-seeking behavior and continued use despite harmful consequences, specifically complicated by a sleep disturbance directly attributable to cocaine's effects. The patient exhibits both physiological and psychological dependence on cocaine, and their sleep architecture is demonstrably altered by the substance.

Apply this code when documentation clearly indicates a diagnosis of cocaine dependence and a co-occurring sleep disorder that the clinician has determined to be cocaine-induced. This requires a definitive link established by the provider between the substance use and the sleep disturbance, often supported by a detailed substance use history and sleep assessment.

• Ensure the documentation explicitly states "dependence" and not just "abuse" or "use."
• Verify that the sleep disorder is specifically attributed to cocaine use; avoid coding if the sleep disorder is pre-existing or due to another etiology.
• Consider sequencing this code as a primary diagnosis if the cocaine dependence and its complications are the primary reason for the encounter.