F14.20

HCC Category Mapping

What This Code Means

This code describes a person who is dependent on cocaine but does not currently have any complications from their addiction, such as withdrawal symptoms or related medical conditions. It indicates an ongoing substance use disorder without acute medical or psychiatric complications at the time of diagnosis.

Coding Tips

• •Use this code only when cocaine dependence is documented without complications; if withdrawal, intoxication, or other complications are present, use a more specific F14.2x code
• •Ensure documentation clearly states 'uncomplicated' status or absence of complications; if the patient has any related conditions (psychiatric, medical, or behavioral), a different code may be more appropriate

Clinical Significance

Cocaine dependence, uncomplicated indicates a patient who meets DSM-5 criteria for cocaine use disorder at a moderate to severe level (dependence) but is not currently experiencing intoxication, withdrawal, or any cocaine-induced complications. This is a chronic, relapsing condition with significant morbidity related to cardiovascular disease, neurological damage, and psychiatric comorbidities. Accurate capture is important as it represents ongoing care needs and higher predicted healthcare utilization than cocaine abuse.

Documentation Requirements

• ✓Provider must explicitly document cocaine dependence or use language consistent with dependence (addiction, moderate-to-severe use disorder)
• ✓Clinical criteria for dependence must be met: tolerance, withdrawal history, continued use despite problems, inability to cut down, or craving
• ✓Documentation confirming no current intoxication, withdrawal, or induced disorders at the time of encounter
• ✓Current status of the dependence (active use vs. maintained on treatment)
• ✓Treatment plan including any pharmacotherapy or behavioral interventions

Commonly Confused Codes