2025 ICD-10-CM code F14.20
Cocaine dependence, uncomplicated. This condition involves an inability to stop using cocaine due to developed tolerance and withdrawal symptoms, but without severe complications like delirium or psychosis.
Medical necessity is established by the patient's inability to cease cocaine use despite its adverse effects on their physical and mental well-being, as well as its impact on their social and occupational functioning. The presence of withdrawal symptoms further supports the need for intervention and treatment.
Providers diagnose this condition based on medical history, signs and symptoms, a detailed inquiry into personal and social behaviors, and physical examination. Laboratory tests of blood, urine, and other bodily fluids/hair may be used. Treatment includes managing withdrawal symptoms, cognitive behavioral therapy (CBT), psychotherapy, group therapy, and residential treatment in severe cases.
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99)
- F14.20 is a subcategory of F14.2 (Cocaine dependence) which falls under the larger category of F14 (Cocaine-related disorders)
In simple words: This means a person can't stop using cocaine because their body has gotten used to it and they experience unpleasant symptoms if they try to quit, but they don't have serious mental problems because of it.
Uncomplicated cocaine dependence refers to the inability to stop using cocaine because the individual has developed a tolerance (more and more is needed to achieve the same effect that a lesser amount previously achieved) and suffers physical and/or mental symptoms upon abrupt withdrawal of the substance, but without complications such as delirium, mood disorders, psychoses, or other complications.
Example 1: A 32-year-old patient presents with difficulty sleeping, increased appetite, and restlessness. They admit to regular cocaine use and express a desire to quit but find themselves unable to. They deny any hallucinations, delusions, or severe mood disturbances. Physical examination reveals a rapid heartbeat., A 25-year-old individual is brought to the emergency room after experiencing a seizure. Urine toxicology is positive for cocaine. Upon further questioning, they reveal a pattern of escalating cocaine use over several months, along with experiencing fatigue and irritability when not using., A 45-year-old patient reports experiencing nosebleeds and nasal problems. They confess to snorting cocaine regularly for several years and acknowledge an inability to stop despite the negative consequences on their health and relationships.
Documentation should include: type of cocaine use, current severity of dependence, presence/absence of complications, remission status, medical history, physical exam findings, and results of laboratory tests (if conducted). Details about personal and social behaviors related to cocaine use should be noted. Treatment plan and progress should be documented.
- Payment Status: Active
- Specialties:Addiction Medicine, Psychiatry, Internal Medicine, Family Medicine, Emergency Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Emergency Room - Hospital, Substance Abuse Treatment Facility, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home