ICD 10 CM F14.221 | Description & Clinical Information

ICD 10 F14.221 describes a condition of cocaine dependence characterized by the presence of high levels of cocaine in the bloodstream, leading to mental confusion and disorientation, as well as the inability to stop using the drug due to the development of tolerance, which requires increasing amounts of the substance to achieve the same effect, and the occurrence of physical and/or mental symptoms upon abrupt withdrawal.

Official Description Of F14.221

The ICD 10 CM book defines ICD 10 code F14.221 as:

Clinical Information

The diagnosis described by the ICD-10 CM F14.221 code pertains to individuals struggling with cocaine dependence with intoxication delirium. Cocaine is a controlled substance used for legitimate medical purposes, but its addictive nature makes it a dangerous drug when used inappropriately. As a stimulant, cocaine has the ability to alter one’s mood, motivation, and energy levels. Those with a dependence on cocaine may experience extreme confusion and loss of awareness, along with other physical and mental symptoms.

Individuals with cocaine dependence may commonly exhibit feelings of euphoria, excitement, anxiety, agitation, and restlessness. They may also experience physical symptoms such as muscle tremors, enlarged pupils, increased blood pressure, lightheadedness, paleness, vomiting, fever, and sweating. Due to these symptoms, those with cocaine dependence may engage in dangerous behaviors and continue to use cocaine, even after being arrested for use or possession.

Cocaine use can also cause physical symptoms such as constricted blood vessels, nausea, and rapid heartbeat. Those who snort cocaine may experience nosebleeds and other nasal problems, while those who rub it on their gums may develop gum, teeth, and gastrointestinal issues. Injection cocaine use puts patients at risk for infections, particularly hepatitis C and HIV. Long-term cocaine misuse may result in weight loss and symptoms similar to Parkinson’s disease.

To diagnose this condition, healthcare professionals will typically rely on a detailed inquiry into an individual’s medical history, signs and symptoms, as well as a physical examination. Laboratory studies may include tests of blood, urine, hair for cocaine levels, and other bodily fluids.

Treatment for cocaine dependence with intoxication delirium will often involve detoxification, antipsychotic medications, and management of any associated symptoms or side effects where necessary. More long-term treatment options could include cognitive behavioral therapy (CBT), psychotherapy, group therapy, and admission to a residential treatment center in extreme cases. Additionally, healthcare providers will work to address any associated physiological conditions that may be contributing to the patient’s dependence.

Unfortunately, there are no effective drugs currently available to prevent excessive cocaine use or treat withdrawal symptoms. As such, proactive efforts to educate individuals on the dangers associated with cocaine use and abuse remain critical. Healthcare professionals should take advantage of available resources to help patients break the cycle of addiction and move towards a healthier, happier future.