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F14.11

Billable

Cocaine abuse, in remission

HCC Category Mapping

V28HCC 138Drug Use Disorder/Substance Use Disorder, Mild
0.476
V24HCC 56Drug/Alcohol Abuse, Without Dependence
0.000
ESRDHCC 56Drug/Alcohol Abuse, Without Dependence
0.000

What This Code Means

A person previously abused cocaine but is no longer using it and has maintained recovery for a sustained period.

Coding Tips

  • The remission status indicates the patient is not currently using cocaine; document the length of remission if available
  • This code can be used even if the patient is receiving treatment or monitoring for their past cocaine abuse

Clinical Significance

Cocaine abuse in remission indicates a patient who previously met cocaine abuse criteria but has achieved a period of recovery. This is an important chronic condition to recapture annually, as it reflects ongoing relapse risk and the need for monitoring and support services. The remission status confirms the patient is not currently using cocaine but maintains a clinically relevant substance use history.

Documentation Requirements

  • Provider documentation of prior cocaine abuse
  • Explicit statement that the patient is currently in remission
  • Duration of remission if available (early vs sustained)
  • Current substance use status (abstinent, in treatment, etc.)
  • Ongoing monitoring or treatment plan for relapse prevention
  • Screening for comorbid conditions common in cocaine users

Commonly Confused Codes

Code Hierarchy

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