F14.23 — Cocaine dependence with withdrawal
F14.23 is a billable, specific ICD-10-CM code for cocaine dependence with withdrawal. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- cocaine dependence with intoxication (F14.22-)
Other codes that can never be billed with F14.23
These codes carry an Excludes1 note pointing at F14.23. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F14.23 alone.
- F14.22Cocaine dependence with intoxication
Risk adjustment
F14.23 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 137 Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications0.424 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
F14.23 is named in 17 Medicare coverage policies — 15 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A59718Billing and Coding: Opioid Treatment Programsnot covered
- A56614Billing and Coding: Psychiatric Inpatient Hospitalization
- A56756Billing and Coding: Home Health - Psychiatric Care
How F14.23 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F14.23.
- Abstinence symptoms, syndrome›cocaine
- Dependence›drug NEC›cocaine›with›withdrawal
Related codes at this level
Codes that share F14.2. If F14.23 is not quite right, the correct code is usually one of these.
- F14.20Cocaine dependence, uncomplicated
- F14.21Cocaine dependence, in remission
- F14.22Cocaine dependence with intoxication
- F14.24Cocaine dependence with cocaine-induced mood disorder
- F14.25Cocaine dependence with cocaine-induced psychotic disorder
- F14.28Cocaine dependence with other cocaine-induced disorder
- F14.29Cocaine dependence with unspecified cocaine-induced disorder
Questions about F14.23
- Is F14.23 a billable ICD-10-CM code?
- Yes. F14.23 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F14.23 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mental and behavioral disorders due to psychoactive substance use (F10-F19).
- What cannot be coded together with F14.23?
- F14.23 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.