ICD-10 Code F14.2 – Cocaine dependence (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F14.2 – Cocaine dependence
What it is
F14.2 identifies cocaine dependence, meaning a documented pattern of ongoing cocaine use with loss of control, craving, and continued use despite harm. Use this code when the record clearly supports dependence rather than simple use.
Clinical signs
Clinical features vary; refer to documentation. Commonly documented signs include strong craving, inability to cut down, tolerance, withdrawal, and continued use despite social, occupational, or medical problems.
When to use this code
Use F14.2 when the clinician documents cocaine dependence, cocaine addiction, or a dependent pattern of use. It also fits when the note describes compulsive use with impairment or withdrawal. If the record only says cocaine use without dependence, check documentation before assigning this code.
Do not use for
Do not use this code for uncomplicated cocaine use, cocaine intoxication, or cocaine abuse unless dependence is specifically documented. If the chart is unclear, check documentation.
Coding tip
Code the highest-specificity substance use diagnosis documented, and confirm whether dependence is stated explicitly in the assessment or problem list.