F14.13
BillableCocaine abuse, unspecified with withdrawal
HCC Category Mapping
V28HCC 137 — Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358V24HCC 55 — Drug/Alcohol Dependence
0.334ESRDHCC 55 — Drug/Alcohol Dependence
0.000What This Code Means
A person abuses cocaine and is experiencing withdrawal symptoms after stopping or reducing cocaine use.
Coding Tips
- •Document specific withdrawal symptoms (depression, fatigue, anhedonia, etc.) as cocaine withdrawal can present with various symptoms
- •Withdrawal indicates the person has stopped using cocaine; if they are still actively using, this code would not apply
Clinical Significance
Cocaine abuse with withdrawal captures a critical clinical state where the patient has reduced or stopped cocaine use and is experiencing withdrawal symptoms such as severe depression, fatigue, anhedonia, increased appetite, and psychomotor retardation. This diagnosis is significant because cocaine withdrawal, while not typically life-threatening like alcohol or benzodiazepine withdrawal, carries substantial suicide risk due to the profound dysphoria. It also indicates the patient's use pattern is severe enough to produce physiological adaptation.
Documentation Requirements
- ✓Provider must document cocaine as the specific substance of abuse
- ✓Abuse pattern (not dependence) must be established per DSM-5 criteria
- ✓Documentation of recent cessation or significant reduction in cocaine use
- ✓Specific withdrawal symptoms must be described (e.g., dysphoria, fatigue, vivid unpleasant dreams, insomnia or hypersomnia, increased appetite, psychomotor retardation or agitation)
- ✓Temporal relationship between stopping cocaine and symptom onset
- ✓Assessment of suicide risk given the depression associated with cocaine withdrawal
Commonly Confused Codes
F14.23 — Cocaine dependence with withdrawal: use when the substance use pattern meets dependence rather than abuse criteriaF14.14 — Cocaine abuse with cocaine-induced mood disorder: use when the mood disturbance is the primary induced condition rather than a general withdrawal stateF14.120 — Cocaine abuse with intoxication, uncomplicated: opposite clinical scenario; intoxication is active use, withdrawal is after cessationF14.10 — Cocaine abuse, uncomplicated: use when no intoxication, withdrawal, or induced disorders are present
Code Hierarchy
└F14Cocaine related disorders└F14.1Cocaine abuse└F14.13Cocaine abuse, unspecified with withdrawal
└F14.13Cocaine abuse, unspecified with withdrawal