ICD-10 Code F14.15 – Cocaine abuse with cocaine-induced psychotic disorder (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Cocaine abuse with cocaine-induced psychotic disorder is F14.15.
2026 ICD-10-CM Diagnosis Code F14.15 – Cocaine abuse with cocaine-induced psychotic disorder

What it is

Use this code for cocaine abuse accompanied by a cocaine-induced psychotic disorder. It indicates psychotic symptoms are caused by cocaine use rather than a primary psychotic illness.

Clinical signs

Clinical features vary; refer to documentation. Commonly, records describe hallucinations, delusions, paranoia, or disorganized thinking occurring in the setting of cocaine use.

When to use this code

Use F14.15 when the provider documents cocaine abuse with a psychotic disorder attributed to cocaine. The record should support both the substance use diagnosis and the substance-induced psychosis. If the documentation only says cocaine use with psychosis, check whether the provider links the psychosis to cocaine.

Do not use for

Do not use this code for cocaine dependence without psychosis, or for a primary psychotic disorder unrelated to cocaine. Check documentation if the chart does not clearly connect the psychotic symptoms to cocaine.

Coding tip

Assign this code only when the provider explicitly documents cocaine-induced psychotic disorder; otherwise, query for clarification.

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