ICD-10 Code F14.159 – Cocaine abuse with cocaine-induced psychotic disorder, unspecified (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F14.159 – Cocaine abuse with cocaine-induced psychotic disorder, unspecified
What it is
Use this code for cocaine abuse accompanied by a cocaine-induced psychotic disorder when the psychosis is not otherwise specified. It identifies both the substance use problem and the substance-related mental disturbance.
Clinical signs
Clinical features vary; refer to documentation. Typical findings may include hallucinations, delusions, paranoia, or disorganized thinking occurring in the setting of cocaine use.
When to use this code
Use F14.159 when the record clearly links psychotic symptoms to cocaine abuse and the provider documents the psychotic disorder as unspecified. It is appropriate when cocaine use is the cause of the mental disorder and no more specific psychotic diagnosis is given. Check documentation if the chart does not clearly state abuse or substance-induced psychosis.
Do not use for
Do not use this code if the psychosis is due to another substance, a primary psychotic disorder, or cocaine dependence without psychotic disorder. Do not assign it when the documentation does not support cocaine abuse.
Coding tip
Code the substance-induced psychosis only when the provider explicitly connects the symptoms to cocaine use.