Cocaine dependence with withdrawal

This code signifies a severe pattern of compulsive cocaine use characterized by the development of withdrawal symptoms upon cessation or reduction of the substance. Patients exhibit a strong desire for cocaine, impaired control over its use, and continued use despite negative consequences, with the physiological manifestation of withdrawal.

Assign this code when documentation clearly indicates a diagnosis of cocaine dependence and the presence of a cocaine withdrawal syndrome. This typically involves symptoms such as dysphoria, fatigue, vivid unpleasant dreams, insomnia or hypersomnia, increased appetite, and psychomotor agitation or retardation following a period of heavy or prolonged cocaine use.

• Ensure documentation explicitly states "dependence" and "withdrawal" to support this code.
• Do not code this with any F14.22- codes (cocaine dependence with intoxication) due to the Excludes1 note.
• Consider sequencing this code as the primary diagnosis if it is the main reason for the encounter, or as a secondary diagnosis if it is a co-occurring condition impacting treatment.