ICD-10 Code F14.1 – Cocaine abuse (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F14.1 – Cocaine abuse
What it is
F14.1 identifies cocaine abuse, meaning a documented pattern of harmful or problematic cocaine use without the more severe features of dependence. Use it when the record clearly states abuse or equivalent wording.
Clinical signs
Clinical features vary; refer to documentation. You may see repeated cocaine use with social, occupational, or health problems, but not necessarily withdrawal or compulsive dependence. Check the note for the provider’s exact assessment.
When to use this code
Use this code when the clinician documents cocaine abuse, cocaine misuse, or a similar nondependent use diagnosis. It also fits encounters focused on consequences of ongoing use when the provider identifies abuse as the condition being treated or evaluated.
If the chart only mentions cocaine use without abuse, check documentation before assigning F14.1. Code the documented diagnosis, and use additional codes if the record separately identifies intoxication, withdrawal, or another cocaine-related disorder.
Do not use for
Do not use F14.1 for cocaine dependence, intoxication, or withdrawal. If the documentation is vague or only says “use,” do not assume abuse; check documentation.
Coding tip
Match the code to the provider’s exact wording, because “abuse,” “dependence,” and “use” are not interchangeable.