ICD-10 Code F14.181 – Cocaine abuse with cocaine-induced sexual dysfunction (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F14.181 – Cocaine abuse with cocaine-induced sexual dysfunction
What it is
Use this code for cocaine abuse that is directly associated with sexual dysfunction caused by cocaine use. It identifies both the substance use problem and the substance-induced sexual disorder.
Clinical signs
Clinical features may include reduced libido, erectile dysfunction, or other sexual performance problems linked to cocaine use. Check documentation for a clear provider statement that the dysfunction is cocaine-induced.
When to use this code
Use F14.181 when the record documents cocaine abuse and the clinician links the sexual dysfunction to cocaine use. It is appropriate when the provider diagnoses a cocaine-induced sexual disorder rather than a separate primary sexual condition. If the cause is not stated clearly, check documentation.
Do not use for
Do not use this code for cocaine dependence or uncomplicated cocaine use without abuse. Do not assign it if the sexual dysfunction is unrelated to cocaine or if the record does not support a substance-induced diagnosis.
Coding tip
Look for explicit provider language connecting the sexual dysfunction to cocaine before coding F14.181.