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ICD-10 Guide
ICD-10 CodesF14.18

F14.18

Billable

Cocaine abuse with other cocaine-induced disorder

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

Code Description

ICD-10 F14.18 is a billable code used to indicate a diagnosis of cocaine abuse with other cocaine-induced disorder.

Key Diagnostic Point:

Cocaine abuse with other cocaine-induced disorder refers to a pattern of cocaine use that leads to clinically significant impairment or distress, characterized by the presence of other cocaine-induced disorders. These disorders may include, but are not limited to, cocaine-induced psychotic disorder, cocaine-induced mood disorder, or cocaine-induced anxiety disorder. Patients may exhibit symptoms such as increased energy, euphoria, and heightened alertness during intoxication, followed by withdrawal symptoms like fatigue, depression, and irritability. The diagnosis requires a thorough assessment of the patient's history, including the frequency and quantity of cocaine use, as well as the impact on their social, occupational, and personal functioning. Treatment typically involves a combination of behavioral therapies, counseling, and support groups, as pharmacological interventions for cocaine dependence are still under research. Accurate coding is essential for appropriate treatment planning and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various cocaine-induced disorders
  • Understanding the nuances of substance use disorder criteria
  • Documenting the severity and impact of the disorder
  • Navigating the overlap with other mental health diagnoses

Audit Risk Factors

  • Inadequate documentation of the specific cocaine-induced disorder
  • Failure to document the severity of cocaine abuse
  • Lack of comprehensive patient history regarding substance use
  • Misclassification of the disorder as uncomplicated cocaine use

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluation, including history of substance use and mental health status.

Common Clinical Scenarios

Patients presenting with acute psychosis or mood disturbances related to cocaine use.

Billing Considerations

Consideration of co-occurring mental health disorders and their impact on treatment.

Addiction Medicine

Documentation Requirements

Comprehensive assessment of substance use history and treatment response.

Common Clinical Scenarios

Patients in withdrawal or seeking treatment for cocaine dependence.

Billing Considerations

Integration of behavioral health interventions and monitoring of treatment adherence.

Coding Guidelines

Inclusion Criteria

Use F14.18 When
  • Follow the ICD
  • CM coding guidelines for substance use disorders, ensuring accurate documentation of the patient's history, symptoms, and any co
  • occurring disorders
  • Include details on the severity and impact of the cocaine use on the patient's life

Exclusion Criteria

Do NOT use F14.18 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Assessment and treatment planning

Clinical Scenario

Used when a patient is evaluated for cocaine abuse and treatment options are discussed.

Documentation Requirements

Comprehensive assessment notes and treatment plan.

Specialty Considerations

Psychiatric evaluations should include 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 cocaine-related disorders, improving the accuracy of diagnoses and treatment planning. This specificity aids in better tracking of substance use trends and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cocaine-related disorders, improving the accuracy of diagnoses and treatment planning. This specificity aids in better tracking of substance use trends and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cocaine-related disorders, improving the accuracy of diagnoses and treatment planning. This specificity aids in better tracking of substance use trends and outcomes.

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 distinguishes F14.18 from other cocaine-related codes?

F14.18 specifically indicates cocaine abuse accompanied by other cocaine-induced disorders, requiring detailed documentation of both the abuse and the associated disorders.