2025 ICD-10-CM code F14
Cocaine-related disorders.
Medical necessity for services related to F14 is established by the presence of a diagnosable cocaine-related disorder impacting the individual's physical and/or mental health and functioning. Treatment should aim to address the addiction, manage withdrawal symptoms, prevent relapse, and improve the patient's overall well-being.
Clinicians diagnose cocaine-related disorders based on medical history, physical examination, and assessment of the individual's social and behavioral patterns. Laboratory tests, such as urine, blood, or hair follicle testing, may be used to detect cocaine. Treatment may involve cognitive behavioral therapy (CBT), psychotherapy, residential treatment programs, and group therapy.Currently, there aren't any medications specifically approved to treat cocaine addiction or withdrawal, so management focuses on supportive care.
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- Mental and behavioral disorders due to psychoactive substance use (F10-F19)
In simple words: Cocaine-related disorders refer to problems arising from using cocaine, such as abuse and addiction. Abuse means continuing to use cocaine even when it causes problems at work, home, or in relationships. Dependence means needing more cocaine to get the same effect and experiencing withdrawal symptoms when stopping.
Cocaine-related disorders encompass a range of conditions stemming from cocaine use, including abuse and dependence.Cocaine abuse is characterized by the continuous use of cocaine despite negative consequences affecting social, occupational, or recreational aspects of life.Cocaine dependence involves developing tolerance, requiring increasing amounts to achieve the desired effect, and withdrawal symptoms upon cessation.
Example 1: A 25-year-old patient presents with dilated pupils, elevated heart rate, and increased blood pressure. They report using cocaine regularly and experiencing intense cravings, neglecting responsibilities at work and home.They exhibit symptoms of anxiety and paranoia.Diagnosis: F14.20, Cocaine dependence, uncomplicated., A 40-year-old individual is admitted to the emergency room with chest pain and difficulty breathing after snorting cocaine. They have a history of cocaine abuse and report using larger amounts recently to achieve the desired effect. Diagnosis: F14.10, Cocaine abuse, uncomplicated, with intoxication., A 30-year-old patient seeks treatment for cocaine dependence. They have successfully stopped using cocaine for one week but are experiencing intense cravings, fatigue, depression, and increased appetite.Diagnosis: F14.20, Cocaine dependence, uncomplicated, in remission.
Documentation for F14 should include the type of cocaine-related disorder (abuse or dependence), current severity, presence of any complications, and remission status if applicable.Details about the frequency and amount of cocaine use, duration of use, and impact on social and occupational functioning should also be documented.Physical and psychological symptoms, along with any relevant laboratory findings, should be noted.
- Specialties:Psychiatry, Addiction Medicine, Emergency Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Residential Substance Abuse Treatment Facility, Community Mental Health Center, etc.