ICD-10 Code F14.251 – Cocaine dependence with cocaine-induced psychotic disorder with hallucinations (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F14.251 – Cocaine dependence with cocaine-induced psychotic disorder with hallucinations
What it is
F14.251 identifies cocaine dependence with a cocaine-induced psychotic disorder marked by hallucinations. Use it when the psychosis is directly linked to cocaine use and the record supports dependence.
Clinical signs
Clinical features vary; refer to documentation. Hallucinations, paranoia, disorganized thinking, or other psychotic symptoms may appear during or after cocaine use, and the chart should link them to cocaine.
When to use this code
Use this code when the provider documents cocaine dependence and a cocaine-induced psychotic disorder with hallucinations in the same encounter. The hallucinations must be attributed to cocaine, not to a primary psychotic disorder or another substance. Check documentation if the record does not clearly distinguish dependence from abuse or use.
Do not use for
Do not use this code for cocaine use without dependence, or for psychosis not caused by cocaine. If hallucinations are present but the provider does not document cocaine-induced psychosis, check documentation.
Coding tip
Confirm that both dependence and cocaine-induced hallucinations are documented before assigning F14.251.