F14.23
BillableCocaine dependence with withdrawal
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 is dependent on cocaine and is experiencing withdrawal symptoms after stopping or reducing cocaine use.
Coding Tips
- •Cocaine withdrawal symptoms may include depression, fatigue, anhedonia, and increased appetite
- •Document the timeline and severity of withdrawal symptoms to support medical necessity for treatment
Clinical Significance
Cocaine dependence with withdrawal captures a clinically significant state where a dependent patient has stopped or reduced cocaine use and is experiencing withdrawal symptoms. Cocaine withdrawal primarily manifests as a severe 'crash' with profound dysphoria, anhedonia, fatigue, hypersomnia, and increased appetite. Unlike alcohol or benzodiazepine withdrawal, cocaine withdrawal is not typically life-threatening but carries significant suicide risk due to severe depression. The withdrawal phase is a critical treatment opportunity.
Documentation Requirements
- ✓Provider documentation of cocaine dependence (not abuse)
- ✓Documentation of recent cessation or significant reduction in cocaine use
- ✓Specific withdrawal symptoms described (dysphoria, fatigue, vivid unpleasant dreams, insomnia or hypersomnia, increased appetite, psychomotor retardation or agitation)
- ✓Timeline of symptom onset relative to last cocaine use
- ✓Suicide risk assessment given the depression associated with cocaine withdrawal
- ✓Treatment plan for managing withdrawal symptoms
Excludes 1 — Do NOT code together
- cocaine dependence with intoxication (F14.22-)
Commonly Confused Codes
F14.13 — Cocaine abuse with withdrawal: use when the substance use pattern is abuse, not dependenceF14.24 — Cocaine dependence with cocaine-induced mood disorder: use when persistent mood disorder extends beyond typical withdrawal timelineF14.20 — Cocaine dependence, uncomplicated: use when NO withdrawal symptoms are presentF14.220 — Cocaine dependence with intoxication, uncomplicated: opposite scenario; patient is intoxicated, not withdrawingF14.93 — Cocaine use, unspecified with withdrawal: use when abuse vs. dependence is unclear
Code Hierarchy
└F14Cocaine related disorders└F14.2Cocaine dependence└F14.23Cocaine dependence with withdrawal
└F14.23Cocaine dependence with withdrawal