6C45.6

ICD-11 MMS 2026-01

Cocaine-induced psychotic disorder

Description

Cocaine-induced psychotic disorder is characterised by psychotic symptoms (e.g. delusions, hallucinations, disorganised thinking, grossly disorganised behaviour) that develop during or soon after intoxication with or withdrawal from cocaine. The intensity or duration of the symptoms is substantially in excess of psychotic-like disturbances of perception, cognition, or behaviour that are characteristic of Cocaine intoxication or Cocaine withdrawal. The amount and duration of cocaine use must be capable of producing psychotic symptoms. The symptoms are not better explained by a primary mental disorder (e.g. Schizophrenia, a Mood disorder with psychotic symptoms), as might be the case if the psychotic symptoms preceded the onset of the cocaine use, if the symptoms persist for a substantial period of time after cessation of the cocaine use or withdrawal, or if there is other evidence of a pre-existing primary mental disorder with psychotic symptoms (e.g. a history of prior episodes not associated with cocaine use).

Exclusions from above levels

  • 6C46 – Disorders due to use of stimulants including amphetamines, methamphetamine or methcathinone
  • QE11.3 – Hazardous use of cocaine
  • QE62 – Uncomplicated bereavement
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  • QE84 – Acute stress reaction

Child codes

  • 6C45.60 – Cocaine-induced psychotic disorder with hallucinations
  • 6C45.61 – Cocaine-induced psychotic disorder with delusions
  • 6C45.62 – Cocaine-induced psychotic disorder with mixed psychotic symptoms
  • 6C45.6Z – Cocaine-induced psychotic disorder, unspecified

Sibling codes

  • 6C45.0 – Episode of harmful use of cocaine
  • 6C45.1 – Harmful pattern of use of cocaine
  • 6C45.2 – Cocaine dependence
  • 6C45.3 – Cocaine intoxication
  • 6C45.4 – Cocaine withdrawal
  • 6C45.5 – Cocaine-induced delirium
  • 6C45.7 – Certain specified cocaine-induced mental or behavioural disorders
  • 6C45.Y – Other specified disorders due to use of cocaine
  • 6C45.Z – Disorders due to use of cocaine, unspecified

Foundation entity

Cocaine-induced psychotic disorder – http://id.who.int/icd/entity/388252416

Allowed postcoordination axes

Part of: 6C45: Disorders due to use of cocaine › 06: Mental, behavioural or neurodevelopmental disorders