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2025 ICD-10-CM code F14.182

Cocaine abuse with cocaine-induced sleep disorder.

Do not use this code if the individual is dependent on cocaine; use codes F14.2- instead.Also, avoid this code if the sleep disorder is attributed to another substance or medical condition.

Medical necessity is established by documenting the significant negative impact of cocaine abuse and the associated sleep disorder on the patient's physical and mental health.The documentation should demonstrate the need for intervention and treatment to address the substance abuse and the resulting sleep problems.

Clinicians diagnose this condition based on medical history, a thorough assessment of the patient's personal and social behaviors, a physical examination, and laboratory tests. Treatment approaches can include cognitive behavioral therapy (CBT), other forms of psychotherapy, residential treatment programs, and group therapy.There are no currently approved medications specifically to treat cocaine abuse or withdrawal.

In simple words: This code describes someone who is using cocaine too much and having trouble sleeping because of it.

This code signifies a condition where an individual is abusing cocaine and is experiencing sleep disturbances as a direct result of the cocaine use.The abuse is characterized by excessive cocaine use that negatively impacts various aspects of life, such as health, work, school, family, and social interactions. The individual might neglect responsibilities, take unnecessary risks, engage in dangerous or illegal activities, and have altered sleep patterns.

Example 1: A 25-year-old patient presents with difficulty falling asleep and staying asleep, as well as increased daytime sleepiness. Upon further evaluation, the patient admits to using cocaine regularly. The sleep disturbances are determined to be a direct result of the cocaine use, hence the diagnosis F14.182 is applied., A 35-year-old individual seeks treatment for cocaine abuse.They report experiencing insomnia, nightmares, and overall poor sleep quality. After a thorough assessment, the clinician determines that the sleep problems are induced by the cocaine use, and F14.182 is used for coding., A patient with a history of cocaine abuse has been abstinent for several weeks but continues to experience sleep difficulties. The prolonged sleep disturbance is considered a consequence of the previous cocaine abuse, warranting the use of code F14.182.

Documentation should include evidence of cocaine abuse, such as the frequency and amount of use, the duration of abuse, and its impact on the patient's life. Details of the sleep disorder should also be recorded, including the type of sleep disturbance, its severity, how long it has been present, and any associated symptoms.It is essential to link the sleep disorder to the cocaine use to justify using this specific code.

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