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ICD-10 Guide
ICD-10 CodesF14.188

F14.188

Billable

Cocaine abuse with other cocaine-induced disorder

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

Code Description

ICD-10 F14.188 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 can include cocaine-induced mood disorders, anxiety disorders, or psychotic disorders. 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 severe negative consequences, including addiction, withdrawal symptoms, and various physical and psychological health issues. The diagnosis of cocaine abuse requires evidence of recurrent use despite negative consequences, such as legal problems, interpersonal conflicts, or health issues. Treatment typically involves a combination of behavioral therapies, counseling, and support groups, as there are currently no FDA-approved medications specifically for cocaine addiction. Understanding the complexities of cocaine abuse and its associated disorders is crucial for effective treatment and recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of cocaine-induced disorders that may accompany abuse.
  • Need for comprehensive patient history to establish diagnosis.
  • Differentiation from other substance use disorders.
  • Potential for co-occurring mental health conditions.

Audit Risk Factors

  • Inadequate documentation of the severity of cocaine use.
  • Failure to document co-occurring disorders.
  • Lack of evidence for the impact of cocaine use on daily functioning.
  • Misclassification of the type of cocaine-induced disorder.

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed patient history, including substance use patterns and co-occurring disorders.

Common Clinical Scenarios

Patients presenting with withdrawal symptoms, cravings, or complications from cocaine use.

Billing Considerations

Consideration of psychosocial factors and comprehensive treatment plans.

Psychiatry

Documentation Requirements

Thorough psychiatric evaluation and documentation of mental health status.

Common Clinical Scenarios

Patients experiencing mood or anxiety disorders secondary to cocaine use.

Billing Considerations

Assessment of risk factors for suicide or self-harm.

Coding Guidelines

Inclusion Criteria

Use F14.188 When
  • Follow the ICD
  • CM coding guidelines for substance use disorders, ensuring accurate documentation of the patient's history, severity, and any co
  • occurring disorders
  • Include specific details about the impact of cocaine use on the patient's life

Exclusion Criteria

Do NOT use F14.188 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Behavioral health assessment

Clinical Scenario

Used for initial assessment of substance use disorders.

Documentation Requirements

Comprehensive assessment notes including history and current functioning.

Specialty Considerations

Addiction specialists should focus on 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 ability to track and treat these conditions effectively. It has also emphasized the need for detailed documentation to support the complexity of cases.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cocaine-related disorders, improving the ability to track and treat these conditions effectively. It has also emphasized the need for detailed documentation to support the complexity of cases.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of cocaine-related disorders, improving the ability to track and treat these conditions effectively. It has also emphasized the need for detailed documentation to support the complexity of cases.

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 F14.188 and F14.180?

F14.188 includes cocaine abuse with additional cocaine-induced disorders, while F14.180 refers to cocaine abuse without any associated disorders. Accurate coding depends on the presence of these additional disorders.