PATIENT: Tom Smith DATE OF SERVICE: 9/10/XX
BLOOD PRESSURE: 140/90 WEIGHT: 164 PULSE: Rapid TEMPERATURE: 100
Tom was seen today at the request of his wife for what she suspects is a recurrence of his cocaine dependence.
On physical examination, the following was noted:
EARS, EYES, NOSE, AND THROAT: Pupils are dilated.
HEART: Heart rate is increased; blood pressure is 140/90.
ABDOMEN: Soft, nontender, no abnormal masses
PSYCHIATRIC: Oriented to time and place. Patient is very talkative and admits to not eating for the last 36 hours with no sleep for the last 48 hours. The lack of sleep is cocaine induced. Patient admits to using cocaine over the last month and recent days.
Referral made for inpatient treatment.
ICD-10-CM Code Assignmentx

The 2020 ICD-10-CM diagnosis code for cocaine abuse is F14.10

Explanation:

ICD code F01-F99 refers to mental, behavioral, and neuro-developmental disorders.

ICD code F14 stands for cocaine related disorders and F14.1 indicates cocaine abuse.  

Cocaine is an addictive illicit drug and abuse effect the body and causes both physical and psychological symptoms.

Short-term signs or effects due to cocaine abuse includes dilated pupils, body temperature, erratic or rapid pulse, high blood pressure and increased heart rate, increased respiratory rate, dilated pupils, lack of appetite and sleep, hyperstimulation with erratic or violent behavior, panic, psychosis etc. Based on the patient’s symptoms and vital signs, the patient’s diagnosis would be cocaine abuse.

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