F14.93
BillableCocaine use, unspecified 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 using cocaine who is experiencing withdrawal symptoms after stopping or reducing cocaine use.
Coding Tips
- •Document the timeline of cocaine cessation and onset of withdrawal symptoms
- •Withdrawal from cocaine typically includes depression, fatigue, and anhedonia rather than physical symptoms
Clinical Significance
Cocaine use, unspecified with withdrawal captures a patient experiencing cocaine withdrawal symptoms where the use pattern (abuse vs. dependence) has not been determined. Cocaine withdrawal predominantly presents with psychological symptoms including severe dysphoria, anhedonia, fatigue, and psychomotor retardation. While not typically medically dangerous like alcohol withdrawal, cocaine withdrawal carries significant suicide risk. The unspecified use pattern represents a documentation gap that should be addressed.
Documentation Requirements
- ✓Documentation of cocaine use (even without specifying abuse or dependence)
- ✓Documentation of recent cessation or reduction in cocaine use
- ✓Specific withdrawal symptoms described (depression, fatigue, vivid dreams, hypersomnia, increased appetite)
- ✓Temporal relationship between cocaine cessation and symptom onset
- ✓Suicide risk assessment
- ✓Treatment plan for managing withdrawal
Commonly Confused Codes
F14.13 — Cocaine abuse with withdrawal: use when abuse is establishedF14.23 — Cocaine dependence with withdrawal: use when dependence is establishedF14.94 — Cocaine use, unspecified with cocaine-induced mood disorder: use when the mood disturbance extends beyond typical withdrawalF14.920 — Cocaine use, unspecified with intoxication, uncomplicated: opposite clinical scenario (intoxication vs. withdrawal)F14.90 — Cocaine use, unspecified, uncomplicated: use when no intoxication, withdrawal, or induced disorders are present
Code Hierarchy
└F14Cocaine related disorders└F14.9Cocaine use, unspecified└F14.93Cocaine use, unspecified with withdrawal
└F14.93Cocaine use, unspecified with withdrawal