ICD-10 Code F14.151 – Cocaine abuse with cocaine-induced psychotic disorder with hallucinations (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F14.151 – Cocaine abuse with cocaine-induced psychotic disorder with hallucinations
What it is
This code identifies cocaine abuse complicated by a cocaine-induced psychotic disorder with hallucinations. Use it when hallucinations are attributed to cocaine use and the record supports a psychotic disorder caused by the substance.
Clinical signs
Hallucinations may be auditory, visual, or tactile, and clinical features can include paranoia, disorganized thinking, or marked behavioral change. Clinical features vary; refer to documentation.
When to use this code
Use this code when the provider documents cocaine abuse and specifically links the psychotic episode with hallucinations to cocaine. It fits encounters where hallucinations are part of the substance-induced condition, not a separate primary psychotic disorder. Check documentation if the record does not clearly connect symptoms to cocaine.
Do not use for
Do not use it for cocaine dependence or uncomplicated cocaine use without psychosis. Do not use it when hallucinations are better explained by another psychiatric, medical, or substance-related condition.
Coding tip
Confirm the provider explicitly states both cocaine abuse and cocaine-induced psychotic disorder with hallucinations before assigning F14.151.