ICD-10 Code F14.259 – Cocaine dependence with cocaine-induced psychotic disorder, unspecified (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F14.259 – Cocaine dependence with cocaine-induced psychotic disorder, unspecified
What it is
This code identifies cocaine dependence when the patient also has a cocaine-induced psychotic disorder, but the psychotic features are not further specified. Use it when the record shows both dependence and substance-induced psychosis.
Clinical signs
Clinical features vary; refer to documentation. Commonly reported psychotic symptoms may include hallucinations, delusions, paranoia, or disorganized thinking occurring in the setting of cocaine use.
When to use this code
Use this code when the provider documents cocaine dependence and links the psychotic disorder to cocaine use, but does not specify the psychotic type. It may apply during an active episode or when the diagnosis is clearly documented in the chart. Check documentation for the exact relationship and wording.
Do not use for
Do not use this code if psychosis is not documented as cocaine-induced, or if the record only shows cocaine abuse or use without dependence. If the psychotic disorder is specified differently, code the documented condition instead.
Coding tip
Code both the dependence and the cocaine-induced psychotic disorder only when the provider explicitly documents both elements.