F14.220
BillableCocaine dependence with intoxication, uncomplicated
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 is dependent on cocaine and is currently intoxicated from cocaine use, without additional complications like confusion or delirium.
Coding Tips
- •Distinguish from F14.221 by confirming that delirium is NOT present
- •Document the current intoxication state and confirm dependence status (not abuse)
Clinical Significance
Cocaine dependence with intoxication, uncomplicated captures an encounter where a cocaine-dependent patient is currently intoxicated but without severe complications such as delirium or perceptual disturbance. This represents a clinical situation requiring monitoring for cardiovascular complications (hypertensive crisis, arrhythmias, myocardial infarction), seizures, and behavioral instability. The combination of dependence and active intoxication suggests the patient's use disorder is not controlled.
Documentation Requirements
- ✓Provider documentation of cocaine dependence (not abuse)
- ✓Documentation of current intoxication at the time of encounter
- ✓Clinical signs of intoxication (euphoria, hyperactivity, dilated pupils, tachycardia, hypertension)
- ✓Confirmation that no complications (delirium, perceptual disturbances) are present
- ✓Vital signs and cardiac monitoring documented
- ✓Assessment of safety and disposition planning
Commonly Confused Codes
F14.120 — Cocaine abuse with intoxication, uncomplicated: use when the pattern is abuse, not dependenceF14.221 — Cocaine dependence with intoxication delirium: use when delirium is presentF14.222 — Cocaine dependence with intoxication with perceptual disturbance: use when hallucinations or sensory disturbances are presentF14.229 — Cocaine dependence with intoxication, unspecified: use when the type of intoxication is not further specifiedF14.20 — Cocaine dependence, uncomplicated: use when no intoxication is present at the encounter
Code Hierarchy
└F14Cocaine related disorders└F14.2Cocaine dependence└F14.22Cocaine dependence with intoxication└F14.220Cocaine dependence with intoxication, uncomplicated
└F14.220Cocaine dependence with intoxication, uncomplicated