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ICD-10 Guide
ICD-10 CodesF14.91

F14.91

Billable

Cocaine use, unspecified, in remission

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

Code Description

ICD-10 F14.91 is a billable code used to indicate a diagnosis of cocaine use, unspecified, in remission.

Key Diagnostic Point:

F14.91 refers to a diagnosis of cocaine use disorder that is currently in remission. Cocaine use disorder is characterized by a problematic pattern of cocaine use leading to significant impairment or distress. The condition can manifest through various symptoms, including cravings, withdrawal symptoms, and continued use despite negative consequences. 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 currently experiencing any symptoms related to cocaine use. This code is essential for tracking the progress of individuals in recovery and for treatment planning. It is crucial for healthcare providers to document the patient's history of cocaine use, any treatment programs they have undergone, and their current status to ensure appropriate care and follow-up. Treatment programs may include behavioral therapies, counseling, and support groups, which are vital for maintaining remission and preventing relapse.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of remission status
  • Differentiation from other substance use disorders
  • Need for comprehensive patient history
  • Potential for co-occurring mental health disorders

Audit Risk Factors

  • Inadequate documentation of remission status
  • Failure to document treatment history
  • Misclassification of active use vs. remission
  • Lack of follow-up notes on patient progress

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients in recovery attending follow-up appointments, relapse prevention strategies.

Billing Considerations

Ensure accurate documentation of remission duration and any ongoing support or therapy.

Psychiatry

Documentation Requirements

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

Common Clinical Scenarios

Patients with co-occurring disorders, medication management for mental health issues.

Billing Considerations

Document any psychiatric symptoms that may influence substance use or recovery.

Coding Guidelines

Inclusion Criteria

Use F14.91 When
  • According to ICD
  • 10 guidelines, F14
  • 91 should be used when the patient has a documented history of cocaine use disorder but is currently in remission
  • It is important to ensure that the remission status is clearly documented and that the patient has not exhibited symptoms for at least 12 months

Exclusion Criteria

Do NOT use F14.91 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Behavioral health assessment

Clinical Scenario

Used during initial evaluations for patients in recovery.

Documentation Requirements

Complete assessment of substance use history and current status.

Specialty Considerations

Addiction specialists should ensure thorough documentation of all relevant factors.

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 statuses. This specificity aids in better tracking of patient outcomes and treatment efficacy.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including remission statuses. This specificity aids in better tracking of patient outcomes and treatment efficacy.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, including remission statuses. This specificity aids in better tracking of patient outcomes and treatment efficacy.

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 use?

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 currently experiencing any symptoms related to cocaine use.