ICD-10 Code F14.281 – Cocaine dependence with cocaine-induced sexual dysfunction (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F14.281 – Cocaine dependence with cocaine-induced sexual dysfunction
What it is
This code identifies cocaine dependence when the patient also has sexual dysfunction caused by cocaine use. It applies when the dependence and the cocaine-related sexual problem are both documented.
Clinical signs
Clinical features vary; refer to documentation. Records may note impaired sexual function temporally linked to cocaine use, along with dependence features such as compulsive use, tolerance, or inability to cut down.
When to use this code
Use this code when the provider documents cocaine dependence and specifically links the sexual dysfunction to cocaine. It is appropriate for diagnoses recorded in outpatient, inpatient, or behavioral health settings when both conditions are present.
Check documentation if the sexual dysfunction is only suspected, not clearly attributed to cocaine, or if another substance or medical cause is documented instead. Code the documented condition rather than inferring the cause.
Do not use for
Do not use this code for cocaine use without dependence, or for sexual dysfunction with no documented cocaine connection. If the chart does not support cocaine-induced dysfunction, check documentation.
Coding tip
Assign F14.281 only when the record clearly states both cocaine dependence and cocaine-induced sexual dysfunction.