ICD-10 Code F14.122 – Cocaine abuse with intoxication with perceptual disturbance (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F14.122 – Cocaine abuse with intoxication with perceptual disturbance
What it is
This code identifies cocaine abuse with intoxication that includes a perceptual disturbance, such as altered sensory perception during active use. Use it when documentation shows cocaine-related intoxication plus hallucinations or similar perceptual changes.
Clinical signs
Clinical features may include marked intoxication with anxiety, agitation, paranoia, or distorted perception. If symptoms are unclear or not documented, check documentation; do not assume a perceptual disturbance without support.
When to use this code
Use F14.122 when the record specifically links cocaine abuse to intoxication and notes perceptual disturbance. It fits encounters where the provider documents cocaine-related hallucinations or sensory distortion during the intoxication episode. Code the documented condition, not suspected use alone.
Do not use for
Do not use this code for cocaine dependence, remission, or uncomplicated intoxication without perceptual disturbance. Also avoid it when the chart describes another substance or when the perceptual symptoms are not clearly tied to cocaine.
Coding tip
Confirm that both intoxication and perceptual disturbance are documented together before assigning F14.122.