Name of the Condition

• Cocaine use, unspecified with cocaine-induced sleep disorder
• ICD-10 Code: F14.982

Summary

Cocaine use with a cocaine-induced sleep disorder refers to sleep-related issues arising from the use of cocaine, a powerful stimulant. These can include insomnia or disrupted sleep patterns caused by the drug's stimulant effects.

Causes

• Primary Cause: The ingestion or use of cocaine.
• Cocaine affects the central nervous system and can interfere with normal sleep cycles.

Risk Factors

• Regular Cocaine Use: The more frequently cocaine is used, the higher the risk of developing sleep disorders.
• Method of Use: Methods that lead to higher blood cocaine levels, such as smoking or injecting, may increase risk.
• Polydrug Use: Using cocaine with other stimulants or depressants.

Symptoms

• Difficulty falling or staying asleep.
• Reduced sleep quality.
• Vivid or unpleasant dreams.
• Daytime fatigue or sleepiness.

Diagnosis

• Patient History: Evaluation of drug use patterns.
• Sleep Studies: May be used to evaluate sleep disturbances.
• Clinical Assessment: To rule out other causes of sleep disorders.

Treatment Options

• Discontinuation of Cocaine Use: Crucial for restoring normal sleep patterns.
• Cognitive Behavioral Therapy (CBT): For substance use and sleep issues.
• Sleep Hygiene Education: Improving sleeping environments and habits.
• Pharmacotherapy: Medications to aid sleep might be considered in some cases.

Prognosis and Follow-Up

• Prognosis: Varies; can improve significantly with cessation of cocaine use.
• Follow-Up: Regular monitoring for relapse and sleep improvement through healthcare provider visits.

Complications

• Chronic sleep deprivation leading to cognitive impairment, mood disorders, and increased risk of accidents.

Lifestyle & Prevention

• Avoiding Cocaine Use: Primary preventive measure.
• Healthy Sleep Practices: Regular sleep schedule, avoiding stimulants before bedtime, and creating a restful sleeping environment.

When to Seek Professional Help

• Inability to sleep or severe sleep issues following cocaine use.
• Any additional mental health symptoms or drug dependence signs.

Additional Resources

• Substance Abuse and Mental Health Services Administration (SAMHSA): samhsa.gov
• American Academy of Sleep Medicine (AASM): aasm.org

Tips for Medical Coders

• Confirm the dual diagnosis of cocaine use and the induced sleep disorder when coding.
• Double-check for additional mental health or substance use codes if applicable.
• Be cautious not to confuse the specific code for sleep disorders with other cocaine-induced conditions.