ICD-10 Code F14.250 – Cocaine dependence with cocaine-induced psychotic disorder with delusions (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F14.250 – Cocaine dependence with cocaine-induced psychotic disorder with delusions
What it is
This code describes cocaine dependence with a psychotic disorder caused by cocaine, where delusions are present. Use it when the record shows both dependence and cocaine-related psychosis.
Clinical signs
Typical findings include fixed false beliefs, paranoia, or other delusional thinking occurring in the setting of cocaine use. Clinical features vary; refer to documentation.
When to use this code
Use this code when the provider documents cocaine dependence and specifically identifies cocaine-induced psychotic disorder with delusions. The psychosis must be attributed to cocaine, not another substance or a primary psychiatric disorder.
If the note only says cocaine dependence, or only mentions psychosis without linking it to cocaine, this code is not supported. Check documentation for the exact substance-related diagnosis.
Do not use for
Do not use this code for cocaine use without dependence, or for psychosis caused by another drug. Do not assign it when delusions are unrelated to cocaine or the documentation is unclear.
Coding tip
Code only when the provider explicitly connects the delusions to cocaine dependence and cocaine-induced psychosis.