ICD-10 Coding for Cocaine Abuse(F14.10, F14.20)
Complete ICD-10-CM coding and documentation guide for Cocaine Abuse. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Cocaine Abuse
F14.1-F14.9Primary Range
Mental and behavioral disorders due to use of cocaine
This range includes codes for cocaine use, abuse, dependence, and related conditions.
Poisoning by, adverse effect of and underdosing of cocaine
Used for coding adverse effects and poisoning 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 exhibits problematic cocaine use without dependence. |
|
| F14.20 | Cocaine dependence, uncomplicated | Use when the patient meets criteria for 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 abuse
Essential facts and insights about Cocaine Abuse
Primary ICD-10-CM Codes for cocaine abuse
Decision Criteria
clinical Criteria
- Patient exhibits social impairment due to cocaine use.
Applicable To
- Cocaine abuse NOS
Excludes
- Cocaine dependence (F14.20)
Clinical Validation Requirements
- Documented social or occupational impairment due to cocaine use
Code-Specific Risks
- Misclassification if dependence criteria are met
Coding Notes
- Ensure documentation specifies abuse rather than use or dependence.
F14.20 - Cocaine dependence, uncomplicated
Use when the patient meets criteria for cocaine dependence.
Applicable To
- Cocaine addiction
Excludes
- Cocaine abuse (F14.10)
Clinical Validation Requirements
- Documented tolerance or withdrawal symptoms
Coding Notes
Dependence should be clearly distinguished from abuse.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Cocaine Abuse to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F14.10.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use structured templates, Regular training on DSM-5 criteria
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 documentation specifies abuse or dependence to use F14.10 or F14.20.
Impact
Using unspecified codes when specific criteria are met.
Mitigation Strategy
Regular audits and training on documentation requirements.
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 Abuse, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Cocaine Abuse
Use these documentation templates to ensure complete and accurate documentation for Cocaine Abuse. These templates include all required elements for proper coding and billing.
Cocaine abuse with social impairment
Specialty: PsychiatryRequired Elements
- Patient history
- DSM-5 criteria
- Social or occupational impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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