Name of the Condition

• Cocaine use, unspecified, uncomplicated (ICD-10: F14.90)

Summary

Cocaine use, unspecified, uncomplicated, refers to the consumption of cocaine in a way that has not resulted in a specified complication or disorder. Cocaine stimulates the central nervous system, leading to heightened alertness and energy but can pose severe health risks when abused or consumed over time.

Causes

The primary cause of this condition is the recreational use of cocaine, a powerful and addictive stimulant drug derived from the coca plant.

Risk Factors

• Peer pressure or environment encouraging drug use.
• History of mental health disorders or substance abuse.
• High-stress levels or seeking enhanced performance or euphoria.
• Sociocultural factors including availability and acceptance.

Symptoms

• Increased heart rate and energy.
• Euphoria and confidence.
• Dilated pupils and reduced appetite.
• Anxiety, restlessness, or irritability.

Diagnosis

• Patient history and self-reporting of cocaine use.
• Behavioral assessment and observation.
• Urine or blood tests to detect cocaine metabolite presence.

Treatment Options

• Behavioral Therapy: Cognitive-behavioral therapy to change thought and behavioral patterns surrounding cocaine use.
• Support Groups: Programs like Narcotics Anonymous provide community support and accountability.
• Ongoing monitoring and follow-up with healthcare providers.

Prognosis and Follow-Up

• With proper support and intervention, individuals can achieve recovery, although relapse is possible and common.
• Regular follow-up is essential to monitor any changes in behavior and to adjust treatment as necessary.

Complications

• Risk of cardiovascular issues such as heart attack or stroke.
• Potential development of addiction or dependency.
• Mental health disorders like anxiety or depression.

Lifestyle & Prevention

• Avoid environments or situations where cocaine use is prevalent.
• Engage in stress reduction techniques like exercise, mindfulness, or hobbies.
• Build a supportive network of friends and family who encourage a drug-free lifestyle.

When to Seek Professional Help

• Experiencing strong cravings or loss of control over cocaine use.
• Encountering severe mood swings, paranoia, or other psychological symptoms.
• Physical symptoms such as chest pain or breathing difficulties warrant immediate medical attention.

Additional Resources

• National Institute on Drug Abuse (NIDA)
• Substance Abuse and Mental Health Services Administration (SAMHSA)
• Local addiction support hotlines and services.

Tips for Medical Coders

• Accurately differentiate between uncomplicated use and cases involving complications or disorders.
• Avoid coding errors by ensuring all relevant documentation is reviewed to confirm the unspecified, uncomplicated nature of use.
• Always verify the absence of complications such as dependency or intoxication to maintain accurate coding practices.