In simple words: This code describes a situation where someone is using cocaine excessively, which is affecting their sleep and other aspects of their life like work, school, and relationships. It's not specified whether this is abuse or addiction.Cocaine use can cause many problems, from trouble sleeping and mood swings to serious health issues like heart problems and infections.

Unspecified cocaine use accompanied by cocaine-induced sleep disorder signifies excessive cocaine consumption that negatively impacts an individual's health, social life, work/school performance, and family dynamics. This includes neglecting responsibilities, risky behaviors, illegal activities, and notably, disturbed sleep patterns. The diagnostic criteria do not explicitly categorize the use as abuse or dependence.The sleep disorder may manifest as difficulty falling or staying asleep, nightmares, or altered sleep duration.Cocaine use can also cause physical symptoms (constricted blood vessels, nausea, rapid heartbeat) and mental symptoms (euphoria, irritability, paranoia, hallucinations).Different methods of cocaine intake (injection, snorting, rubbing on gums, inhalation) can lead to specific health issues like nasal problems, gum/teeth/GI issues, and infectious diseases (hepatitis C, HIV).Long-term effects include weight loss, Parkinson-like symptoms, and violent/dangerous behaviors.

Example 1: A 25-year-old patient presents with difficulty sleeping, irritability, and weight loss.They admit to using cocaine regularly.The provider documents F14.982 as the diagnosis., A 40-year-old individual is admitted to the emergency room after a car accident.They exhibit paranoia and hallucinations.Cocaine is detected in their urine.F14.982 is used to code the cocaine use with associated sleep disorder, as the patient also reports chronic insomnia., A patient seeks help from a therapist, reporting decreased performance at work, strained family relationships, and difficulty sleeping. Upon further assessment, the therapist determines that the patient's issues stem from cocaine use and documents F14.982.

Documentation should include evidence of cocaine use, details about the sleep disturbance (e.g., type, duration, severity), impact on daily life (work/school, family, social), and any related physical or mental health symptoms. Laboratory results and sleep study findings should also be included.