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Cocaine Use–Related Consequences During the Past 3 Months

Published: August 9, 2026Updated: August 17, 2026

A self-report questionnaire asking how often cocaine use caused health, social, or legal problems during the past 3 months.

Quick summary

Your answers help show whether cocaine use is affecting your health, relationships, daily life, or legal wellbeing.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
95451-1
Short code
DURINGTHEPAST3MOHOWOFTENHASYOURUSEOFCOCAINELEDTOHEALTHSOCIALLEGAL
Synonyms
—
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
7
Ref high
56
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
nida
CPT
84484
SNOMED
302773008
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This is a screening questionnaire rather than a laboratory test. It asks about experiences during the past 3 months in which cocaine use led to health problems, social or relationship difficulties, or legal problems.

Why might I need this test?

A clinician or treatment program may use it to assess the effects of cocaine use and guide counseling or treatment. It can also help track concerns over time.

How is the test performed?

You answer questions about how often each type of consequence occurred during the past 3 months. The answers are based on your own experiences and are reviewed with a healthcare professional or counselor.

How do I prepare for the test?

No special preparation is needed. Consider the past 3 months and answer as accurately and honestly as you can, including if you are unsure how often a particular problem occurred.

Reference range

Adult males: 7-56 U/L; Adult females: 7-43 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

More frequent cocaine-related consequences may indicate that use is interfering with your health, relationships, responsibilities, or legal situation. The questionnaire does not diagnose a substance use disorder by itself; a clinician should interpret it alongside other information.

Short name

Cocaine Use Consequences Assessment

Frequently asked questions

Does this test involve a blood or urine sample?
No. This is a self-report questionnaire, although a clinician may use other tests separately when monitoring substance use.
What period do the questions cover?
The questions focus on health, social, and legal consequences that occurred during the previous 3 months.
Will my answers be kept confidential?
Confidentiality depends on where the questionnaire is completed and its privacy policies. You can ask the healthcare professional or counselor administering it how your responses will be protected and shared.
  1. 1
    MedlinePlus — Laboratory TestsSource
  2. 2
    Lab Tests OnlineSource
  3. 3
    Mayo Clinic — Tests & ProceduresSource

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy