ICD-11 classes
06 Mental, behavioural or neurodevelopmental disorders
Disorders due to substance use or addictive behaviours
Disorders due to substance use
6C45 — Disorders due to use of cocaine

ICD-11 6C45 — Disorders due to use of cocaine

Disorders due to use of cocaine are characterised by the pattern and consequences of cocaine use. Cocaine is a compound found in the leaves of the coca plant, Erythroxylum coca, which is indigenous to countries in northern regions of South America. Cocaine has a limited place in medical treatment as an anaesthetic and vasoconstrictive agent. It is commonly used illicitly and widely available across the world, where it is found in two main forms: cocaine hydrochloride and cocaine freebase (also known as ‘crack’). Cocaine is a central nervous system stimulant, and Cocaine Intoxication typically includes a state of euphoria and hyperactivity. Cocaine has potent dependence-producing properties and Cocaine Dependence is a common cause of morbidity and of clinical presentations. Cocaine Withdrawal has a characteristic course that includes lethargy and depressed mood. A range of Cocaine-Induced Mental Disorders is described.

The diagnosis includes nothing.

It excludes 2 items.

  • Disorders due to use of stimulants including amphetamines, methamphetamine or methcathinone (6C46)
  • Hazardous use of cocaine (QE11.3)

Diagnosis with code 6C45 contains 10 clarifying diagnoses:

  1. 6C45.0 — Episode of harmful use of cocaine
  2. 6C45.1 — Harmful pattern of use of cocaine
    It contains 3 clarifying diagnoses.
  3. 6C45.2 — Cocaine dependence
    It contains 5 clarifying diagnoses.
  4. 6C45.3 — Cocaine intoxication
  5. 6C45.4 — Cocaine withdrawal
  6. 6C45.5 — Cocaine-induced delirium
  7. 6C45.6 — Cocaine-induced psychotic disorder
    It contains 4 clarifying diagnoses.
  8. 6C45.7 — Certain specified cocaine-induced mental or behavioural disorders
    It contains 4 clarifying diagnoses.
  9. 6C45.Y — Other specified disorders due to use of cocaine
  10. 6C45.Z — Disorders due to use of cocaine, unspecified

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