ICD-10 Code F14.121 – Cocaine abuse with intoxication with delirium (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F14.121 – Cocaine abuse with intoxication with delirium
What it is
F14.121 identifies cocaine abuse with intoxication accompanied by delirium. Use it when cocaine use has caused an acute confused state with impaired attention, awareness, and thinking.
Clinical signs
Clinical features vary; refer to documentation. Delirium may present with disorientation, disturbed attention, altered consciousness, agitation, or perceptual disturbance during cocaine intoxication.
When to use this code
Use this code when the provider documents cocaine abuse and the intoxication episode includes delirium. It fits acute presentations where the mental status change is directly linked to cocaine use. Check documentation if the record does not clearly state delirium.
Do not use for
Do not use this code for cocaine use without delirium, or for delirium from another cause. Do not substitute it for dependence, remission, or unspecified cocaine-related disorders.
Coding tip
Confirm both the substance and the complication; the chart should support cocaine intoxication and delirium together.