Cocaine dependence, in remission

This code signifies a patient's historical diagnosis of cocaine dependence where the individual has not used cocaine for at least 12 months, or for a period of time less than 12 months but long enough to be considered in remission by the clinician. It indicates a period of sustained abstinence or significant reduction in use, with no current symptoms of dependence.

Apply this code when documentation clearly states a past diagnosis of cocaine dependence and the patient is currently in remission. This is often seen in follow-up appointments for substance use disorder treatment, or when a patient's medical history is being updated. Supporting documentation should specify the substance (cocaine) and the remission status.

• Always confirm the specific substance (cocaine) and the documented remission status.
• Do not confuse with codes for cocaine abuse or current cocaine dependence.
• Sequence this code after any acute conditions or primary reasons for the encounter, unless the remission status is the primary focus of the visit.