F14.21
BillableCocaine dependence, in remission
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 was dependent on cocaine but is no longer actively using it and has achieved a period of recovery or abstinence.
Coding Tips
- •This code indicates dependence (not abuse) and requires documentation of remission status
- •Remission means the person is not currently meeting criteria for cocaine dependence despite past dependence
Clinical Significance
Cocaine dependence, in remission indicates a patient with a history of cocaine dependence who is no longer meeting active criteria for the disorder. This code is important for risk adjustment because even in remission, patients with cocaine dependence history require ongoing monitoring, relapse prevention, and screening for long-term health consequences including cardiovascular disease, cognitive impairment, and psychiatric comorbidities. The remission status does not eliminate the ongoing care needs and relapse risk.
Documentation Requirements
- ✓Provider must document a history of cocaine dependence (not just abuse)
- ✓Clear statement that the patient is currently in remission
- ✓Specification of remission type if possible (early remission vs. sustained remission per DSM-5)
- ✓Documentation of ongoing recovery activities or treatment (if applicable)
- ✓Assessment of relapse risk factors
- ✓Screening for long-term health consequences of prior cocaine use
Commonly Confused Codes
F14.20 — Cocaine dependence, uncomplicated: use when the patient still meets active dependence criteriaF14.11 — Cocaine abuse, in remission: use when the previous pattern was abuse (not dependence)Z87.898 — Personal history of other specified risk factors: sometimes incorrectly used for substance use historyF14.21 vs. F14.20 — Key distinction is whether the patient currently meets dependence criteria or is in remission
Code Hierarchy
└F14Cocaine related disorders└F14.2Cocaine dependence└F14.21Cocaine dependence, in remission
└F14.21Cocaine dependence, in remission