F14.23

F14.23: Cocaine dependence with withdrawal

Billable / specific codeICD-10-CM

F14.23 is a billable, specific ICD-10-CM code for cocaine dependence with withdrawal. It is valid for submission on a claim.

Check F14.23 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

cocaine dependence with intoxication (F14.22-)

Excludes1 inherited from the categories above F14.23

A category’s note binds every code beneath it.

Written on F14.2: Cocaine dependence

cocaine abuse (F14.1-)
cocaine use, unspecified (F14.9-)

Excludes2 inherited from the categories above F14.23

Not part of this code, but both may be coded when both are present.

Written on F14.2: Cocaine dependence

cocaine poisoning (T40.5-)

Written on F14: Cocaine related disorders

other stimulant-related disorders (F15.-)

Other codes that can never be billed with F14.23

Their own Excludes1 notes name this code, so the conflict is not listed above.

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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

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 one applies depends on your Medicare contractor.

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