F14.2
Cocaine dependence
Clinical Classification Guidelines
Excludes Type 1
- cocaine abuse (F14.1-)
- cocaine use, unspecified (F14.9-)
Excludes Type 2
- cocaine poisoning (T40.5-)
Medical Intelligence & Overview
Cocaine dependence, classified under ICD-10 code F14.2, is a serious condition characterized by a compulsive need to use cocaine despite harmful consequences. This dependence often leads to significant physical, psychological, and social issues, impacting an individual's overall health and well-being. Recognizing the signs and understanding the nature of this dependence is vital for seeking appropriate help and managing the condition effectively.
Causes & Symptoms
Clinical Causes: Genetic predisposition affecting brain chemistry and susceptibility to addiction Environmental factors such as exposure to drug-using peers or high-stress situations Psychological factors including mental health disorders like depression or anxiety Repeated use of cocaine leading to neurochemical changes in the brain's reward system Availability and social influences encouraging drug experimentation and sustained use
Key Symptoms: Intense cravings for cocaine Inability to control drug use despite negative consequences Persistent desire or unsuccessful efforts to cut down or stop use Using larger amounts or over longer periods than intended Spending significant time obtaining, using, or recovering from cocaine effects Neglecting responsibilities at work, school, or home Engaging in risky behaviors such as driving under influence Development of tolerance, requiring higher doses to achieve the same effect Withdrawal symptoms upon cessation, including fatigue, depression, or increased appetite Psychological effects like paranoia, agitation, or hallucinations during intoxication
Diagnostic & Treatment
Diagnosis Path: Detailed clinical interview to explore drug use history and associated behaviors Assessment of physical signs related to cocaine use Screening questionnaires and standardized diagnostic tools based on DSM-5 criteria Evaluation of the impact on social, occupational, and personal functioning Possible laboratory tests to detect recent cocaine use through urine, blood, or hair analysis
Treatment Protocols: Behavioral therapies such as cognitive-behavioral therapy (CBT) to modify drug-related thoughts and behaviors Contingency management programs that provide incentives for staying drug-free Support groups and peer support to promote accountability and sharing experiences Medication-assisted treatment remains limited for cocaine dependence but research continues Addressing co-occurring mental health conditions to improve overall recovery outcomes Long-term follow-up and relapse prevention strategies to sustain sobriety
Clinical Advice & FAQs
Billing Guidance
Is F14.2 a billable ICD-10 code?
Yes, F14.2 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report F14.2?
Clinical documentation must specify the nature of Cocaine dependence and any associated comorbidities for accurate reporting.
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