F14.14
BillableCocaine abuse with cocaine-induced mood disorder
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 develops a mood disorder (such as depression or bipolar disorder) as a direct result of the cocaine use.
Coding Tips
- •The mood disorder must be documented as induced by cocaine use, not a pre-existing condition; if pre-existing, code separately
- •Specify the type of mood disorder if documented (depressive, bipolar, etc.) in addition to this code
Clinical Significance
Cocaine abuse with cocaine-induced mood disorder captures a dual condition where the patient's cocaine use has directly caused a mood disturbance such as depression, mania, or mixed features. This is clinically important because it indicates the substance use has progressed beyond simple intoxication to producing persistent psychiatric effects that may require treatment even after cocaine cessation. The mood disorder must be causally linked to cocaine rather than being a pre-existing primary mood disorder.
Documentation Requirements
- ✓Provider documentation of cocaine abuse (not dependence) pattern
- ✓Clear statement that the mood disorder is induced by cocaine use (causal relationship)
- ✓Description of the specific mood disturbance (depressive features, manic features, or mixed)
- ✓Documentation ruling out pre-existing primary mood disorders (e.g., Major Depressive Disorder, Bipolar Disorder)
- ✓Temporal relationship showing mood symptoms developed during or shortly after cocaine use
- ✓Current treatment plan addressing both the substance abuse and the induced mood disorder
Commonly Confused Codes
F14.24 — Cocaine dependence with cocaine-induced mood disorder: use when the pattern meets dependence rather than abuse criteriaF14.180 — Cocaine abuse with cocaine-induced anxiety disorder: use when the primary induced condition is anxiety rather than mood disturbanceF32.9 — Major depressive disorder, single episode, unspecified: use only when depression is a primary condition, not substance-inducedF14.13 — Cocaine abuse with withdrawal: withdrawal includes depressive symptoms but is coded differently than an induced mood disorderF14.94 — Cocaine use, unspecified with cocaine-induced mood disorder: use when abuse vs. dependence cannot be determined
Code Hierarchy
└F14Cocaine related disorders└F14.1Cocaine abuse└F14.14Cocaine abuse with cocaine-induced mood disorder
└F14.14Cocaine abuse with cocaine-induced mood disorder