ICD-10 Coding for Cocaine Use Disorder(F14.20, F14.23)
Complete ICD-10-CM coding and documentation guide for Cocaine Use Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cocaine Use Disorder
F14.1-F14.9Primary Range
Mental and behavioral disorders due to use of cocaine
This range includes all codes related to cocaine use, abuse, and dependence, covering various clinical scenarios and complications.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F14.20 | Cocaine dependence, uncomplicated | Use when the patient meets criteria for dependence without current complications. |
|
| F14.23 | Cocaine dependence with withdrawal | Use when the patient is experiencing withdrawal symptoms. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for cocaine use disorder
Essential facts and insights about Cocaine Use Disorder
Primary ICD-10-CM Codes for cocaine use disorder
Decision Criteria
clinical Criteria
- Presence of withdrawal symptoms or inability to cut down
Applicable To
- Cocaine addiction
Excludes
- Cocaine abuse without dependence (F14.10)
Clinical Validation Requirements
- Chronic use with tolerance or withdrawal symptoms
- Inability to reduce use despite attempts
Code-Specific Risks
- Misclassification if withdrawal symptoms are present but not documented
Coding Notes
- Ensure documentation supports the diagnosis of dependence, including DSM-5 criteria.
F14.23 - Cocaine dependence with withdrawal
Use when the patient is experiencing withdrawal symptoms.
Applicable To
- Cocaine withdrawal
Clinical Validation Requirements
- Documented withdrawal symptoms such as fatigue, hypersomnia, or increased appetite
Coding Notes
Withdrawal symptoms must be clearly documented to support this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cocaine Use Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F14.20.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Potential audit failure., Financial: Denied claims due to insufficient documentation.
Mitigation Strategy
Use checklists for withdrawal symptoms., Regular training on documentation standards.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient care.
Mitigation Strategy
Ensure DSM-5 criteria for dependence are met and documented.
Impact
Inadequate documentation of DSM-5 criteria for dependence.
Mitigation Strategy
Implement regular audits and training sessions.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Cocaine Use Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cocaine Use Disorder
Use these documentation templates to ensure complete and accurate documentation for Cocaine Use Disorder. These templates include all required elements for proper coding and billing.
Psychiatry Progress Note
Specialty: PsychiatryRequired Elements
- Route of administration
- Frequency and quantity of use
- Withdrawal symptoms
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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