Cocaine dependence with cocaine-induced sexual dysfunction

This code signifies a patient diagnosed with a severe and persistent pattern of cocaine use leading to significant impairment or distress, specifically manifesting as sexual dysfunction directly attributable to the cocaine use. The dependence indicates a compulsive drug-seeking behavior and continued use despite harmful consequences, with the sexual dysfunction being a direct physiological or psychological effect of the substance.

Apply this code when documentation clearly establishes a diagnosis of cocaine dependence and explicitly links the patient's sexual dysfunction (e.g., erectile dysfunction, anorgasmia, decreased libido) as a direct consequence of their cocaine use. This requires a physician's assessment confirming both the dependence and the causal relationship between the substance and the sexual impairment.

• Ensure documentation explicitly states "dependence" and not just "abuse" or "use" for cocaine.
• Verify the sexual dysfunction is clearly attributed to cocaine use and not another underlying medical condition or medication.
• Consider co-occurring mental health conditions that may also be documented and require additional codes.