Find comprehensive information on Cocaine Use, including clinical documentation, medical coding, and healthcare resources for diagnosis. Learn about Cocaine Abuse, Cocaine Dependence, and Cocaine Addiction, along with related terms for accurate medical records and billing. This resource supports healthcare professionals in proper diagnosis and coding for Cocaine-related disorders.
Also known as
Cocaine-related disorders
Covers various cocaine-induced disorders including use, intoxication, and withdrawal.
Cocaine-induced mental disorders
Encompasses mental and behavioral disorders due to cocaine use.
Poisoning by cocaine
Specifies poisoning by, adverse effect of, and underdosing of cocaine.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the cocaine use current?
Yes
Is there use disorder?
No
Is there a history of use disorder?
When to use each related code
| Description |
|---|
| Stimulant use disorder involving cocaine. |
| Stimulant use disorder, excluding cocaine. |
| Other (or unknown) substance use disorder. |
Coding cocaine use without specifying current, in remission, or history can lead to inaccurate severity and reimbursement.
Overlooking and failing to code related conditions like cocaine-induced psychosis or cardiac arrhythmia impacts clinical documentation improvement (CDI) and quality metrics.
Discrepancies between physician notes, lab results, and patient statements regarding cocaine use create compliance risks and coding challenges for abuse, dependence, or addiction.
Q: What are the most effective evidence-based interventions for cocaine use disorder in a primary care setting?
A: Effective interventions for cocaine use disorder (CUD) in primary care settings often involve a combination of approaches. Contingency management, using motivational incentives to reinforce abstinence, has demonstrated strong efficacy. Cognitive behavioral therapy (CBT) can equip patients with coping mechanisms to manage cravings and triggers. Motivational interviewing can help patients explore their ambivalence towards change and develop their own motivation for recovery. Pharmacotherapy options, while limited, can be considered in conjunction with behavioral interventions. Explore how integrating these evidence-based practices can improve patient outcomes in your primary care setting. Consider implementing routine screening for CUD to identify and address the issue early.
Q: How can I differentiate between cocaine intoxication and other stimulant-induced psychosis during a patient presentation, and what are the key diagnostic criteria to consider?
A: Differentiating between cocaine intoxication and other stimulant-induced psychosis requires careful assessment of the clinical presentation and history. While both can present with similar symptoms like agitation, paranoia, and hallucinations, specific features can point towards cocaine. Temporal correlation of symptom onset with cocaine use is crucial. Consider the presence of other cocaine-specific signs such as tachycardia, mydriasis, and elevated blood pressure. A thorough patient history, including substance use patterns and any pre-existing psychiatric conditions, is essential. Urine toxicology screening can confirm cocaine presence, but clinical judgment remains paramount. Learn more about the DSM-5 diagnostic criteria for stimulant intoxication and psychotic disorders to aid in accurate diagnosis and appropriate management.
Patient presents with signs and symptoms suggestive of cocaine use disorder, fulfilling DSM-5 diagnostic criteria. Clinical indicators observed include increased heart rate, elevated blood pressure, dilated pupils, and psychomotor agitation. The patient reports a pattern of cocaine use leading to significant impairment in social and occupational functioning, including neglecting responsibilities at work and strained relationships with family. He acknowledges cravings for cocaine, difficulty controlling cocaine intake, and continued use despite adverse consequences. The patient denies any current withdrawal symptoms but describes past experiences with cocaine withdrawal, including fatigue, increased appetite, and vivid dreams. Differential diagnoses considered include amphetamine use disorder, anxiety disorder, and bipolar disorder. Assessment for co-occurring mental health conditions is ongoing. The patient's history includes prior attempts at treatment for cocaine addiction, including outpatient counseling and a brief period of residential treatment. Current treatment plan includes referral to a substance abuse specialist for further evaluation and recommendation for an intensive outpatient program (IOP) addressing cocaine dependence. Patient education provided regarding the risks of continued cocaine abuse, including cardiovascular complications, neurological damage, and overdose. Focus of the treatment plan will include relapse prevention strategies, cognitive behavioral therapy (CBT), and motivational interviewing to promote sustained recovery from cocaine addiction. ICD-10 code F14.20 will be used for cocaine dependence, unspecified.