ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesF14.13

F14.13

Billable

Cocaine abuse, unspecified with withdrawal

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

Code Description

ICD-10 F14.13 is a billable code used to indicate a diagnosis of cocaine abuse, unspecified with withdrawal.

Key Diagnostic Point:

Cocaine abuse is characterized by the recurrent use of cocaine, leading to significant impairment or distress. This condition can manifest through various symptoms, including cravings, increased tolerance, and withdrawal symptoms when not using the substance. Withdrawal from cocaine can present with a range of psychological and physical symptoms, such as fatigue, increased appetite, insomnia, and depression. The unspecified nature of this code indicates that the specific details of the cocaine abuse are not documented, which can complicate treatment and management. Cocaine withdrawal can be particularly challenging, as it often leads to a cycle of relapse due to the intense cravings and psychological distress experienced by the individual. Treatment programs typically involve a combination of behavioral therapies, counseling, and support groups, as there are currently no FDA-approved medications specifically for cocaine addiction. Understanding the nuances of cocaine abuse and withdrawal is crucial for effective treatment and recovery, as well as for accurate coding and billing practices.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified nature of the code can lead to ambiguity in documentation.
  • Withdrawal symptoms can vary widely among individuals, complicating diagnosis.
  • Requires comprehensive understanding of substance use disorders.
  • Potential overlap with other substance use codes may lead to confusion.

Audit Risk Factors

  • Inadequate documentation of withdrawal symptoms.
  • Failure to specify the type of cocaine use (e.g., crack vs. powder).
  • Lack of comprehensive treatment plans in medical records.
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, withdrawal symptoms, and treatment plans.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms, seeking detoxification, or entering rehabilitation programs.

Billing Considerations

Accurate assessment of withdrawal severity is crucial for appropriate treatment coding.

Psychiatry

Documentation Requirements

Comprehensive mental health evaluations, including assessment of co-occurring disorders.

Common Clinical Scenarios

Patients experiencing mood disorders or anxiety related to cocaine withdrawal.

Billing Considerations

Documentation must reflect the interplay between substance use and mental health conditions.

Coding Guidelines

Inclusion Criteria

Use F14.13 When
  • According to ICD
  • 10 guidelines, F14
  • 13 should be used when there is clear documentation of cocaine abuse with withdrawal symptoms
  • It is important to differentiate between abuse and dependence, as this affects treatment and coding
  • The code should not be used if the withdrawal symptoms are not documented or if the patient is not actively experiencing withdrawal

Exclusion Criteria

Do NOT use F14.13 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Alcohol and/or drug assessment

Clinical Scenario

Used when assessing a patient for substance use disorders.

Documentation Requirements

Comprehensive assessment notes detailing substance use history and withdrawal symptoms.

Specialty Considerations

Addiction specialists should ensure thorough documentation to support the assessment.

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 cocaine abuse with withdrawal. This specificity aids in better tracking of treatment outcomes and resource allocation for addiction services.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including cocaine abuse with withdrawal. This specificity aids in better tracking of treatment outcomes and resource allocation for addiction services.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including cocaine abuse with withdrawal. This specificity aids in better tracking of treatment outcomes and resource allocation for addiction services.

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 is the difference between cocaine abuse and cocaine dependence?

Cocaine abuse refers to the harmful use of cocaine without the presence of physical dependence, while cocaine dependence includes a pattern of use that leads to tolerance and withdrawal symptoms.