F14.188

HCC Category Mapping

What This Code Means

This code describes a patient who misuses cocaine and has developed another cocaine-related medical or psychiatric condition beyond just the substance use itself, such as sleep problems, anxiety, or other health effects caused by the drug. It indicates problematic cocaine use that has led to additional health complications.

Coding Tips

• •Verify documentation specifies both cocaine abuse AND an additional cocaine-induced condition (such as F14.188 for sleep disorder, anxiety, or other specified disorder) rather than just cocaine use alone
• •Do not use this code if the patient has cocaine dependence instead of abuse; dependence requires codes from the F14.2x series, while abuse uses F14.1x series

Clinical Significance

Cocaine abuse with other cocaine-induced disorder is a residual category for cocaine-induced conditions that do not fit the specific subcategories (mood, anxiety, psychosis, sexual dysfunction, or sleep disorders). This may include cocaine-induced obsessive-compulsive disorder, cognitive impairment, or other neuropsychiatric conditions. The code reflects that cocaine's widespread effects on the central nervous system can produce varied clinical presentations beyond the standard categories.

Documentation Requirements

• ✓Provider documentation of cocaine abuse (not dependence)
• ✓Specific description of the cocaine-induced disorder present
• ✓Documentation that the disorder is directly caused by cocaine use
• ✓Explanation of why the condition does not fit more specific F14.18x subcategories
• ✓Temporal relationship between cocaine use and onset of the induced disorder
• ✓Clinical impact of the induced disorder on patient functioning

Commonly Confused Codes