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ICD-10 Guide
ICD-10 CodesF14.281

F14.281

Billable

Cocaine dependence with cocaine-induced sexual dysfunction

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

Code Description

ICD-10 F14.281 is a billable code used to indicate a diagnosis of cocaine dependence with cocaine-induced sexual dysfunction.

Key Diagnostic Point:

Cocaine dependence is characterized by a compulsive pattern of cocaine use, leading to significant impairment or distress. Cocaine-induced sexual dysfunction refers to the adverse effects on sexual function resulting from cocaine use, which may include erectile dysfunction, decreased libido, or other sexual performance issues. The interplay between cocaine dependence and sexual dysfunction can complicate treatment, as patients may be reluctant to disclose sexual issues due to stigma or embarrassment. Clinicians must assess both the psychological and physiological impacts of cocaine use on sexual health. Treatment often involves a combination of behavioral therapies, counseling, and support groups, focusing on both substance use and sexual health. Addressing these issues holistically is crucial for effective recovery and improving the quality of life for affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • The need to differentiate between cocaine dependence and other substance use disorders.
  • Understanding the nuances of cocaine-induced sexual dysfunction.
  • The requirement for comprehensive documentation of both substance use and sexual health issues.
  • Potential co-occurring mental health disorders that may complicate diagnosis.

Audit Risk Factors

  • Inadequate documentation of the relationship between cocaine use and sexual dysfunction.
  • Failure to document the severity and duration of cocaine dependence.
  • Lack of evidence for comprehensive treatment plans addressing both issues.
  • Misclassification of the primary diagnosis when multiple substance use disorders are present.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including substance use patterns and sexual health assessments.

Common Clinical Scenarios

Patients presenting with anxiety, depression, or sexual dysfunction related to cocaine use.

Billing Considerations

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

Urology

Documentation Requirements

Assessment of sexual function, including specific tests for erectile dysfunction.

Common Clinical Scenarios

Patients experiencing erectile dysfunction or libido issues linked to cocaine use.

Billing Considerations

Collaboration with mental health professionals for comprehensive care.

Coding Guidelines

Inclusion Criteria

Use F14.281 When
  • Follow ICD
  • CM guidelines for coding substance use disorders, ensuring accurate documentation of the relationship between cocaine use and sexual dysfunction
  • Include details on the severity and impact on daily functioning

Exclusion Criteria

Do NOT use F14.281 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

Used in conjunction with treatment for cocaine dependence.

Documentation Requirements

Document the counseling session details and patient engagement.

Specialty Considerations

Psychiatric specialists may need to coordinate with addiction specialists.

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 ability to capture the complexities of cocaine dependence and its effects on sexual health, improving data accuracy and treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the ability to capture the complexities of cocaine dependence and its effects on sexual health, improving data accuracy and treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including the ability to capture the complexities of cocaine dependence and its effects on sexual health, improving data accuracy and treatment planning.

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 significance of coding F14.281?

Coding F14.281 is crucial for accurately capturing the complexities of cocaine dependence and its impact on sexual health, which can inform treatment strategies and improve patient outcomes.