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ICD-10 Guide
ICD-10 CodesF14.21

F14.21

Billable

Cocaine dependence, in remission

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

Code Description

ICD-10 F14.21 is a billable code used to indicate a diagnosis of cocaine dependence, in remission.

Key Diagnostic Point:

Cocaine dependence, in remission, refers to a state where an individual has previously met the criteria for cocaine use disorder but is currently not experiencing any symptoms or negative consequences associated with cocaine use. This condition is characterized by a significant reduction or complete cessation of cocaine use for a specified period, typically at least 12 months, as defined by the DSM-5. Individuals in remission may have previously exhibited a pattern of compulsive cocaine use, leading to significant impairment or distress. The remission status indicates that the individual has made progress in recovery, which may involve participation in treatment programs, support groups, or other therapeutic interventions aimed at maintaining abstinence. It is essential to document the duration of remission and any ongoing treatment or support mechanisms in place, as this information is critical for accurate coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between active dependence and remission status
  • Understanding the criteria for remission as per DSM-5
  • Documenting previous substance use history accurately
  • Potential for co-occurring mental health disorders

Audit Risk Factors

  • Inadequate documentation of remission duration
  • Failure to document previous cocaine use patterns
  • Misclassification of active use versus remission
  • Lack of evidence for ongoing treatment or support

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients transitioning from active cocaine use to remission, involvement in outpatient treatment programs.

Billing Considerations

Ensure that all treatment modalities and support systems are documented to reflect the patient's recovery journey.

Psychiatry

Documentation Requirements

Comprehensive mental health evaluations, including substance use history and current mental status.

Common Clinical Scenarios

Patients with co-occurring mental health disorders and cocaine dependence in remission.

Billing Considerations

Document any psychiatric interventions or medications prescribed to support recovery.

Coding Guidelines

Inclusion Criteria

Use F14.21 When
  • According to ICD
  • 10 coding guidelines, F14
  • 21 should be used when the patient has a documented history of cocaine dependence but is currently in remission
  • It is essential to include the duration of remission and any ongoing treatment or support in the documentation

Exclusion Criteria

Do NOT use F14.21 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Behavioral health assessment

Clinical Scenario

Used during initial evaluation of a patient in remission from cocaine dependence.

Documentation Requirements

Complete assessment of substance use history and current status.

Specialty Considerations

Addiction specialists should ensure thorough documentation of the assessment process.

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 remission states. 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 remission states. 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 remission states. 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 does 'in remission' mean in the context of cocaine dependence?

In remission indicates that the individual has not met the criteria for cocaine use disorder for a specified period, typically at least 12 months, and is not experiencing any symptoms or negative consequences related to cocaine use.