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ICD-10 Guide
ICD-10 CodesF14.14

F14.14

Billable

Cocaine abuse with cocaine-induced mood disorder

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

Code Description

ICD-10 F14.14 is a billable code used to indicate a diagnosis of cocaine abuse with cocaine-induced mood disorder.

Key Diagnostic Point:

Cocaine abuse with cocaine-induced mood disorder refers to a clinical condition where an individual exhibits a pattern of cocaine use that leads to significant impairment or distress, accompanied by mood disturbances directly attributable to the substance. Cocaine is a powerful stimulant that can induce euphoria, increased energy, and heightened alertness. However, its use can also lead to adverse psychological effects, including anxiety, depression, and mood swings. The diagnosis requires evidence of cocaine abuse, characterized by recurrent use despite negative consequences, and the presence of mood disorder symptoms that arise during or shortly after cocaine use. These mood disturbances can include depressive episodes, manic symptoms, or other mood-related issues that are not better explained by a primary mood disorder. Treatment typically involves a combination of behavioral therapies, counseling, and support groups, as pharmacological interventions for cocaine dependence are still under investigation. Understanding the interplay between cocaine use and mood disorders is crucial for effective management and recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between cocaine-induced mood disorder and primary mood disorders.
  • Documenting the severity and duration of cocaine use.
  • Identifying co-occurring mental health conditions.
  • Understanding the nuances of substance abuse terminology.

Audit Risk Factors

  • Inadequate documentation of the relationship between cocaine use and mood symptoms.
  • Failure to document the severity of the mood disorder.
  • Lack of evidence for recurrent use or abuse patterns.
  • Misclassification of primary mood disorders versus substance-induced mood disorders.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Comprehensive mental health evaluations, including history of substance use and mood symptoms.

Common Clinical Scenarios

Patients presenting with mood swings, anxiety, or depressive symptoms linked to cocaine use.

Billing Considerations

Careful assessment of mood symptoms to differentiate from primary mood disorders.

Addiction Medicine

Documentation Requirements

Detailed substance use history, treatment plans, and progress notes.

Common Clinical Scenarios

Patients undergoing detoxification or rehabilitation for cocaine addiction.

Billing Considerations

Integration of behavioral health interventions with substance use treatment.

Coding Guidelines

Inclusion Criteria

Use F14.14 When
  • According to ICD
  • 10 guidelines, F14
  • 14 should be used when there is clear evidence of cocaine abuse and associated mood disorder symptoms
  • It is essential to document the timeline of substance use and mood symptoms to support the diagnosis

Exclusion Criteria

Do NOT use F14.14 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Behavioral health assessment

Clinical Scenario

Used when assessing a patient for cocaine-induced mood disorder.

Documentation Requirements

Comprehensive assessment notes detailing substance use history and mood symptoms.

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 substance use disorders, including the differentiation of cocaine-induced mood disorders from primary mood disorders, enhancing the accuracy of treatment and billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the differentiation of cocaine-induced mood disorders from primary mood disorders, enhancing the accuracy of treatment and billing.

Reimbursement & Billing Impact

billing.

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 that leads to significant impairment or distress, while cocaine dependence indicates a more severe condition characterized by tolerance, withdrawal symptoms, and compulsive use despite negative consequences.