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ICD-10 Guide
ICD-10 CodesF14.11

F14.11

Billable

Cocaine abuse, in remission

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F14.11 is a billable code used to indicate a diagnosis of cocaine abuse, in remission.

Key Diagnostic Point:

Cocaine abuse, in remission, refers to a state where an individual has previously engaged in the harmful use of cocaine but is currently not exhibiting any symptoms of substance use disorder. This condition is characterized by a significant reduction or complete cessation of cocaine use for a specified period, typically at least 12 months. During this time, the individual may have undergone treatment programs aimed at addressing their addiction, which can include behavioral therapies, counseling, and support groups. The remission status indicates that the individual is not currently experiencing withdrawal symptoms or intoxication effects associated with cocaine use. However, it is important to note that individuals in remission may still be at risk for relapse, and ongoing support and monitoring are often recommended to maintain their recovery. Clinicians should document the duration of remission and any treatment interventions that have been implemented to support the individual’s recovery journey.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between active cocaine use and remission status.
  • Need for thorough documentation of treatment history and duration of remission.
  • Potential for co-occurring mental health disorders that may complicate coding.
  • Variability in individual treatment plans and outcomes.

Audit Risk Factors

  • Inadequate documentation of remission duration.
  • Failure to document treatment interventions.
  • Misclassification of active use versus remission.
  • Lack of follow-up notes indicating ongoing support.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed treatment history, including dates and types of interventions.

Common Clinical Scenarios

Patients transitioning from inpatient rehabilitation to outpatient support.

Billing Considerations

Documentation must reflect ongoing support and any risk factors for relapse.

Psychiatry

Documentation Requirements

Mental health evaluations and any co-occurring disorders.

Common Clinical Scenarios

Patients with a history of cocaine use presenting with anxiety or depression.

Billing Considerations

Consideration of dual diagnoses and their impact on treatment plans.

Coding Guidelines

Inclusion Criteria

Use F14.11 When
  • According to ICD
  • 10 guidelines, F14
  • 11 should be used when the patient has a documented history of cocaine abuse but is currently in remission
  • Documentation must include the duration of remission and any treatment received

Exclusion Criteria

Do NOT use F14.11 When
  • Exclusion criteria include active cocaine use or withdrawal symptoms

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Behavioral health assessment

Clinical Scenario

Used during initial evaluation of a patient in remission.

Documentation Requirements

Assessment results and treatment recommendations.

Specialty Considerations

Addiction specialists should document specific substance use history.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including remission states, which aids in better tracking and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including remission states, which aids in better tracking and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including remission states, which aids in better tracking and treatment planning.

Resources

Clinical References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Coding & Billing References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Frequently Asked Questions

What does 'in remission' mean in the context of cocaine abuse?

In remission indicates that the individual has not engaged in cocaine use for a specified period, typically at least 12 months, and is not experiencing withdrawal or intoxication symptoms.