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F14.19

Billable

Cocaine abuse with unspecified cocaine-induced disorder

HCC Category Mapping

V28HCC 137Drug Use Disorder/Substance Use Disorder, Moderate/Severe
0.358
V24HCC 55Drug/Alcohol Dependence
0.334
ESRDHCC 55Drug/Alcohol Dependence
0.000

What This Code Means

A person who abuses cocaine and has a cocaine-related mental health or behavioral problem that doesn't fit into the other specified categories.

Coding Tips

  • Use this code only when a cocaine-induced disorder is present but cannot be classified into more specific categories
  • Query provider for clarification on the specific disorder if documentation is vague

Clinical Significance

Cocaine abuse with unspecified cocaine-induced disorder is the least specific combination code for cocaine abuse with an induced condition. It indicates the provider has documented that cocaine use caused some type of disorder but has not specified the nature of that disorder. This code should be used as a last resort when more specific information cannot be obtained. It still reflects a more complex clinical picture than uncomplicated cocaine abuse.

Documentation Requirements

  • Provider documentation of cocaine abuse pattern
  • Documentation that a cocaine-induced disorder is present
  • Evidence that provider could not further specify the type of induced disorder despite reasonable inquiry
  • Clinical context supporting the presence of a cocaine-induced complication beyond simple abuse
  • Treatment plan addressing both the substance abuse and the unspecified induced condition

Commonly Confused Codes

Code Hierarchy

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