ICD-10 Coding for Cocaine Use(F14.10, F14.20, F14.23)
Complete ICD-10-CM coding and documentation guide for Cocaine Use. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cocaine Use
F14.1-F14.9Primary Range
Mental and behavioral disorders due to use of cocaine
This range covers all mental and behavioral disorders related to cocaine use, including abuse, dependence, and withdrawal.
Poisoning by, adverse effect of and underdosing of cocaine
This range is used for coding adverse effects and poisonings related to cocaine use.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F14.10 | Cocaine abuse, uncomplicated | Use when the patient abuses cocaine but does not meet criteria for dependence. |
|
| F14.20 | Cocaine dependence, uncomplicated | Use when the patient is dependent on cocaine. |
|
| F14.23 | Cocaine dependence with withdrawal | Use when the patient is experiencing withdrawal symptoms from cocaine dependence. |
|
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
Essential facts and insights about Cocaine Use
Primary ICD-10-CM Codes for cocaine use
Decision Criteria
clinical Criteria
- Patient uses cocaine without meeting dependence criteria.
Applicable To
- Cocaine abuse NOS
Excludes
- Cocaine dependence (F14.20)
Clinical Validation Requirements
- Patient history of cocaine use without dependence
- No withdrawal symptoms present
Code-Specific Risks
- Misclassification if dependence criteria are met
Coding Notes
- Ensure documentation supports the absence of dependence.
F14.20 - Cocaine dependence, uncomplicated
Use when the patient is dependent on cocaine.
Applicable To
- Cocaine addiction
Excludes
- Cocaine abuse (F14.10)
Clinical Validation Requirements
- Patient meets DSM-5 criteria for cocaine dependence
- Documented history of compulsive use
Coding Notes
Dependence should be clearly documented in the patient's history.
F14.23 - Cocaine dependence with withdrawal
Use when the patient is experiencing withdrawal symptoms from cocaine dependence.
Applicable To
- Cocaine withdrawal
Clinical Validation Requirements
- Documented withdrawal symptoms
- Timeline of last use and symptom onset
Coding Notes
Withdrawal symptoms must be clearly documented.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cocaine Use to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F14.10.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific terms and DSM-5 criteria, Document objective findings
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on substance use disorders.
Mitigation Strategy
Ensure DSM-5 criteria are reviewed and documented to determine correct coding.
Impact
Inadequate documentation of substance use can lead to audit findings.
Mitigation Strategy
Ensure all criteria and symptoms are documented clearly.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cocaine Use
Use these documentation templates to ensure complete and accurate documentation for Cocaine Use. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Cocaine Intoxication
Specialty: Emergency MedicineRequired Elements
- Chief complaint
- History of present illness
- Review of systems
- Objective findings
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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