ICD-10 Code F14.951 – Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F14.951 – Cocaine use, unspecified with cocaine-induced psychotic disorder with hallucinations
What it is
This code identifies cocaine use, unspecified, when the patient also has a cocaine-induced psychotic disorder with hallucinations. It indicates psychotic symptoms are linked to cocaine use rather than a primary psychotic disorder.
Clinical signs
Hallucinations, often auditory or visual, may occur with paranoia, agitation, or disorganized behavior. Clinical features vary; refer to documentation for evidence that symptoms are substance-induced and associated with cocaine use.
When to use this code
Use this code when the record clearly documents cocaine use and a cocaine-induced psychotic disorder with hallucinations. It is appropriate when the provider links the psychosis to cocaine and does not document a more specific cocaine use pattern.
Apply it for encounters where hallucinations are part of the diagnosed substance-induced psychosis, even if intoxication or withdrawal is also discussed. Check documentation if the note does not clearly distinguish substance-induced psychosis from another mental disorder.
Do not use for
Do not use this code for hallucinations unrelated to cocaine, or when the psychosis is documented as primary rather than substance-induced. Do not use if cocaine use is not documented or the diagnosis is uncertain.
Coding tip
Code the substance-induced psychotic disorder only when the provider explicitly ties hallucinations to cocaine use.