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ICD-10 Guide
ICD-10 CodesF14.981

F14.981

Billable

Cocaine use, unspecified with cocaine-induced sexual dysfunction

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

Code Description

ICD-10 F14.981 is a billable code used to indicate a diagnosis of cocaine use, unspecified with cocaine-induced sexual dysfunction.

Key Diagnostic Point:

F14.981 refers to a condition characterized by the use of cocaine, a powerful stimulant drug, which leads to sexual dysfunction. Cocaine use can result in various physiological and psychological effects, including increased energy, euphoria, and heightened sexual arousal. However, chronic use can lead to significant sexual dysfunction, including erectile dysfunction in men and decreased libido in both genders. The dysfunction may stem from the drug's impact on neurotransmitters, particularly dopamine and serotonin, which play crucial roles in sexual function. This code is used when the specific type of cocaine use is not documented, but the presence of sexual dysfunction is noted. Clinicians must assess the patient's history of cocaine use, the severity of sexual dysfunction, and any co-occurring mental health disorders, as these factors can influence treatment options and outcomes. Treatment may involve counseling, behavioral therapies, and support groups, alongside addressing the substance use disorder itself.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of cocaine use and its effects
  • Need for comprehensive patient history to establish the link between cocaine use and sexual dysfunction
  • Potential for co-occurring mental health disorders complicating diagnosis
  • Differentiation from other substance-induced sexual dysfunctions

Audit Risk Factors

  • Inadequate documentation linking cocaine use to sexual dysfunction
  • Failure to document the severity of sexual dysfunction
  • Lack of comprehensive patient history regarding substance use
  • Misclassification of sexual dysfunction as primary rather than substance-induced

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, including substance use patterns and mental health status.

Common Clinical Scenarios

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

Billing Considerations

Consideration of co-occurring disorders and the need for integrated treatment plans.

Urology

Documentation Requirements

Assessment of sexual function, including erectile dysfunction evaluations and treatment history.

Common Clinical Scenarios

Men presenting with erectile dysfunction who have a history of cocaine use.

Billing Considerations

Need for collaboration with mental health professionals for comprehensive care.

Coding Guidelines

Inclusion Criteria

Use F14.981 When
  • According to ICD
  • 10 guidelines, F14
  • 981 should be used when cocaine use is documented but not specified, and there is a clear link to sexual dysfunction
  • Coders must ensure that the documentation supports the diagnosis and that other potential causes of sexual dysfunction are ruled out

Exclusion Criteria

Do NOT use F14.981 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99406CPT Code

Smoking and tobacco use cessation counseling visit

Clinical Scenario

When a patient with cocaine use disorder also seeks help for tobacco cessation.

Documentation Requirements

Document the patient's history of substance use and the counseling provided.

Specialty Considerations

Consider collaboration with addiction specialists for comprehensive care.

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 nuances of cocaine use and its effects on sexual health. This specificity aids in better treatment planning and resource allocation.

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 nuances of cocaine use and its effects on sexual health. This specificity aids in better treatment planning and resource allocation.

Reimbursement & Billing Impact

impact on sexual function, and any treatment provided. Providers should ensure that all relevant information is included to support the diagnosis and treatment plan.

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 F14.981?

Coding F14.981 is crucial for accurately capturing the impact of cocaine use on sexual health, which can guide treatment and inform healthcare providers about the complexities of substance use disorders.