F14.94
BillableCocaine use, unspecified 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 using cocaine who has developed a mood disorder such as depression or bipolar disorder as a direct result of cocaine use.
Coding Tips
- •Ensure the mood disorder is documented as cocaine-induced rather than a primary mood disorder
- •Consider the temporal relationship between cocaine use and mood symptoms
Clinical Significance
Cocaine use, unspecified with cocaine-induced mood disorder captures a mood disturbance directly caused by cocaine in a patient whose use pattern (abuse vs. dependence) has not been determined. Cocaine-induced mood disorders can range from severe depression (during withdrawal or chronic use) to manic-like states (during acute intoxication). This dual condition increases treatment complexity and suicide risk significantly. The unspecified use pattern should be clarified through provider query.
Documentation Requirements
- ✓Documentation of cocaine use
- ✓Clear statement that the mood disorder is cocaine-induced
- ✓Description of the type of mood disturbance (depressive, manic, mixed)
- ✓Documentation ruling out primary mood disorders
- ✓Temporal relationship between cocaine use and mood symptom onset
- ✓Suicide risk assessment
- ✓Treatment plan addressing both cocaine use and mood disorder
Commonly Confused Codes
F14.14 — Cocaine abuse with cocaine-induced mood disorder: use when abuse is establishedF14.24 — Cocaine dependence with cocaine-induced mood disorder: use when dependence is establishedF14.93 — Cocaine use, unspecified with withdrawal: withdrawal includes mood symptoms but is coded differentlyF32.x — Major depressive disorder codes: use when depression is primary, not substance-inducedF14.980 — Cocaine use, unspecified with cocaine-induced anxiety disorder: use when anxiety is the primary induced condition
Code Hierarchy
└F14Cocaine related disorders└F14.9Cocaine use, unspecified└F14.94Cocaine use, unspecified with cocaine-induced mood disorder
└F14.94Cocaine use, unspecified with cocaine-induced mood disorder