Name of the Condition

• Cocaine Abuse with Intoxication, Unspecified
• ICD Code: F14.129

Summary

Cocaine abuse with intoxication is a substance use disorder where an individual consumes cocaine in a way that leads to intoxication, affecting physical and mental health. Intoxication can vary from mild to severe, influencing behavior and physiological functions.

Causes

• Cocaine abuse typically results from habitual consumption of the drug for its stimulating effects.
• Psychological factors, social environment, and genetic predisposition can contribute to the onset of abuse.

Risk Factors

• History of substance abuse.
• Presence of mental health disorders such as depression or anxiety.
• Peer pressure or social networks engaging in drug use.
• Access to cocaine.

Symptoms

• Euphoria, increased energy, and mental alertness.
• Paranoia, agitation, and irritability.
• Elevated heart rate and blood pressure.
• Mood swings and impaired judgment.

Diagnosis

• Clinical assessment and patient history evaluation.
• Toxicology screening to confirm the presence of cocaine in the body.

Treatment Options

• Behavioral therapies, such as cognitive-behavioral therapy (CBT), to address substance use patterns.
• Medications may be prescribed to manage withdrawal symptoms and minimize cravings.
• Support groups and rehabilitation programs to maintain sobriety.

Prognosis and Follow-Up

• Prognosis varies based on the individual's commitment to cease drug use and engage in treatment.
• Regular follow-up appointments are crucial for monitoring recovery progress and preventing relapse.

Complications

• Cardiovascular issues such as heart attack or stroke.
• Neurological impairments including seizures and cognitive deficits.
• Psychological problems, including severe depression or anxiety.
• Risk of overdose, potentially leading to fatal outcomes.

Lifestyle & Prevention

• Avoid environments and social circles that encourage drug use.
• Seek psychological counseling or therapy to address underlying mental health issues.
• Engage in healthy lifestyle practices, including regular exercise and proper nutrition.

When to Seek Professional Help

• Sudden changes in behavior or mental status.
• Signs of overdose such as chest pain, difficulty breathing, or loss of consciousness.
• Inability to reduce or cease cocaine use despite adverse effects.

Additional Resources

• National Institute on Drug Abuse (NIDA) website.
• Substance Abuse and Mental Health Services Administration (SAMHSA) helpline.

Tips for Medical Coders

• Ensure accurate documentation of the patient's drug use and intoxication status to select the correct code.
• Avoid confusing with other substance-related disorders; verify that cocaine is the specific substance involved.