F14.181
BillableCocaine abuse with cocaine-induced sexual dysfunction
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 who abuses cocaine and experiences sexual dysfunction (difficulty with sexual performance or desire) caused by the cocaine use.
Coding Tips
- •Document should clearly link sexual dysfunction to cocaine abuse rather than other medical or psychological causes
- •This is a specific cocaine-induced disorder distinct from general sexual dysfunction codes
Clinical Significance
Cocaine abuse with cocaine-induced sexual dysfunction captures the impact of cocaine on sexual health, including erectile dysfunction, decreased libido, delayed ejaculation, or anorgasmia resulting from cocaine's effects on dopamine pathways and vascular function. This is clinically relevant because sexual dysfunction often contributes to relationship distress and may be a motivating factor for treatment engagement. Chronic cocaine use can cause both acute and long-term sexual dysfunction through neurotransmitter depletion and vascular damage.
Documentation Requirements
- ✓Provider documentation of cocaine abuse pattern
- ✓Specific documentation of sexual dysfunction type (erectile dysfunction, decreased libido, anorgasmia, etc.)
- ✓Clear causal relationship established between cocaine use and sexual dysfunction
- ✓Documentation ruling out other medical causes of sexual dysfunction (diabetes, hypertension, medications)
- ✓Timeline showing sexual dysfunction onset relative to cocaine use pattern
- ✓Patient's subjective report of sexual difficulties
Commonly Confused Codes
F14.281 — Cocaine dependence with cocaine-induced sexual dysfunction: use when the substance use pattern is dependenceN52.9 — Male erectile dysfunction, unspecified: use when erectile dysfunction is not related to cocaine useF52.0 — Hypoactive sexual desire disorder: use when decreased libido is a primary conditionF14.188 — Cocaine abuse with other cocaine-induced disorder: use when the cocaine-induced condition does not fit specific subcategoriesF14.981 — Cocaine use, unspecified with cocaine-induced sexual dysfunction: use when abuse vs. dependence is unclear
Code Hierarchy
└F14Cocaine related disorders└F14.1Cocaine abuse└F14.18Cocaine abuse with other cocaine-induced disorder└F14.181Cocaine abuse with cocaine-induced sexual dysfunction
└F14.181Cocaine abuse with cocaine-induced sexual dysfunction