F14.24
BillableCocaine dependence with cocaine-induced mood disorder
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 has developed a mood disorder (such as depression or bipolar disorder) caused by the cocaine use.
Coding Tips
- •The mood disorder must be documented as cocaine-induced, not a pre-existing condition
- •Specify the type of mood disorder if documented (depressive, bipolar, etc.) in addition to this code
Clinical Significance
Cocaine dependence with cocaine-induced mood disorder is a dual-diagnosis code capturing both the severe substance use disorder and a mood disturbance directly caused by cocaine. In dependent patients, chronic cocaine use causes persistent dopamine depletion leading to severe depression, while active use may produce manic-like episodes. This combination significantly increases treatment complexity, relapse risk, and suicide potential. Both conditions must be addressed simultaneously for effective treatment.
Documentation Requirements
- ✓Provider documentation of cocaine dependence
- ✓Clear statement that the mood disorder is induced by cocaine (not a primary mood disorder)
- ✓Description of the specific mood disturbance (depressive, manic, or mixed features)
- ✓Temporal relationship showing mood symptoms developed during or after cocaine use
- ✓Documentation ruling out primary mood disorders (Major Depressive Disorder, Bipolar Disorder)
- ✓Suicide risk assessment
- ✓Integrated treatment plan addressing both dependence and mood disorder
Commonly Confused Codes
F14.14 — Cocaine abuse with cocaine-induced mood disorder: use when the pattern is abuse, not dependenceF14.23 — Cocaine dependence with withdrawal: withdrawal includes depressive symptoms but is a different clinical entityF14.280 — Cocaine dependence with cocaine-induced anxiety disorder: use when anxiety is the primary induced conditionF32.x — Major Depressive Disorder codes: use when depression is a primary condition, not substance-inducedF14.94 — Cocaine use, unspecified with cocaine-induced mood disorder: use when abuse vs. dependence is unclear
Code Hierarchy
└F14Cocaine related disorders└F14.2Cocaine dependence└F14.24Cocaine dependence with cocaine-induced mood disorder
└F14.24Cocaine dependence with cocaine-induced mood disorder