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ICD-10 Guide
ICD-10 CodesF14.10

F14.10

Billable

Cocaine abuse, uncomplicated

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

Code Description

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

Key Diagnostic Point:

Cocaine abuse, uncomplicated, refers to a pattern of cocaine use that leads to significant impairment or distress but does not include the presence of withdrawal symptoms or other complications. Cocaine is a powerful stimulant that affects the central nervous system, leading to increased energy, euphoria, and heightened alertness. However, its use can also result in adverse effects such as anxiety, paranoia, and cardiovascular issues. The diagnosis of uncomplicated cocaine abuse is made when the individual exhibits a maladaptive pattern of cocaine use, characterized by recurrent use leading to failure to fulfill major role obligations, use in hazardous situations, and continued use despite social or interpersonal problems. It is essential to differentiate uncomplicated cocaine abuse from more severe forms of substance use disorders, such as cocaine dependence or those with withdrawal symptoms, as these conditions require different treatment approaches and coding. Treatment typically involves behavioral therapies, counseling, and support groups, focusing on reducing cocaine use and addressing underlying psychological issues.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between uncomplicated abuse and dependence
  • Identifying co-occurring mental health disorders
  • Understanding the nuances of substance use disorder criteria
  • Documenting the absence of withdrawal symptoms

Audit Risk Factors

  • Inadequate documentation of substance use history
  • Failure to specify the absence of withdrawal symptoms
  • Misclassification of cocaine abuse as dependence
  • Lack of evidence for the impact of cocaine use on daily functioning

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, assessment of impact on daily life, and treatment plan.

Common Clinical Scenarios

Patients presenting with cocaine use without withdrawal symptoms, seeking help for substance use.

Billing Considerations

Ensure comprehensive documentation of the patient's substance use history and any co-occurring disorders.

Psychiatry

Documentation Requirements

Mental health evaluations, treatment plans, and progress notes regarding substance use.

Common Clinical Scenarios

Patients with underlying mental health issues exacerbated by cocaine use.

Billing Considerations

Document any psychiatric evaluations that address the impact of cocaine on mental health.

Coding Guidelines

Inclusion Criteria

Use F14.10 When
  • According to ICD
  • 10 coding guidelines, F14
  • 10 should be used when a patient exhibits cocaine abuse without withdrawal symptoms or complications
  • Coders must ensure that the diagnosis is supported by clinical documentation reflecting the patient's substance use history and current status

Exclusion Criteria

Do NOT use F14.10 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

When a patient with cocaine abuse also seeks help for tobacco cessation.

Documentation Requirements

Document the patient's substance use history and the counseling provided.

Specialty Considerations

Addiction specialists should ensure comprehensive assessments are conducted.

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, improving the ability to track and treat cocaine abuse. F14.10 provides a clear distinction between uncomplicated abuse and more severe forms of substance use disorders, facilitating appropriate treatment and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to track and treat cocaine abuse. F14.10 provides a clear distinction between uncomplicated abuse and more severe forms of substance use disorders, facilitating appropriate treatment and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 a pattern of use that leads to significant impairment or distress without withdrawal symptoms, while cocaine dependence includes physiological dependence and withdrawal symptoms.