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2025 ICD-10-CM code F14.282

Cocaine dependence with cocaine-induced sleep disorder.

Code F14.282 should be used when both cocaine dependence and a cocaine-induced sleep disorder are present.If the sleep disorder is not directly caused by cocaine use, a separate code for the specific sleep disorder should also be assigned.It's important to differentiate between cocaine abuse (F14.1-) and cocaine dependence (F14.2-) when selecting the appropriate code.

Medical necessity for services related to this code requires demonstrating that the patient's cocaine dependence and associated sleep disorder significantly impair their daily functioning and overall health.Treatment should aim to address both the addiction and the sleep disturbance to improve the patient's well-being and quality of life.

Diagnosis and treatment of this condition is typically managed by healthcare professionals specializing in addiction medicine, psychiatry, or other related fields. They will assess the patient's cocaine use history, sleep patterns, and overall health to determine the appropriate course of action. Treatment may involve a combination of therapies, medications, and support groups to address both the addiction and the sleep disorder.

In simple words: This diagnosis means a person is addicted to cocaine and their cocaine use is causing problems with their sleep.

This code represents a diagnosis of cocaine dependence accompanied by a sleep disorder specifically induced by cocaine use.It signifies that the individual has developed a physical and/or psychological dependence on cocaine, experiencing withdrawal symptoms upon cessation, and also suffers from sleep disturbances as a direct result of their cocaine use.This could manifest as difficulty falling asleep, frequent awakenings, or non-restorative sleep.

Example 1: A 32-year-old male presents with difficulty falling asleep and frequent nightmares.He admits to regular cocaine use.Upon examination, he exhibits signs of cocaine dependence, including withdrawal symptoms and cravings.His sleep disturbances are directly attributed to his cocaine use, leading to a diagnosis of F14.282., A 27-year-old female, with a long history of cocaine addiction, reports experiencing insomnia and restless sleep.After a thorough evaluation, her physician determines that her sleep problems are a consequence of her cocaine dependence, thus assigning the code F14.282., A 45-year-old individual seeking treatment for cocaine dependence complains of chronic sleep problems.Following a comprehensive assessment, including a review of their substance use history and sleep patterns, they receive a diagnosis of F14.282, reflecting the interplay between their cocaine addiction and sleep disorder.

Documentation should include evidence of cocaine dependence (e.g., withdrawal symptoms, cravings, unsuccessful attempts to quit), as well as details of the sleep disturbance (e.g., insomnia, hypersomnia, nightmares). The documentation should clearly establish a causal link between cocaine use and the sleep disorder.Supporting documentation might include patient self-report, clinical observations, sleep studies, and laboratory tests.

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