ICD-10 Code F14.23 – Cocaine dependence with withdrawal (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F14.23 – Cocaine dependence with withdrawal
What it is
This code identifies cocaine dependence when the patient is in withdrawal. It means cocaine use has led to dependence, and stopping or reducing use is causing a withdrawal syndrome.
Clinical signs
Clinical features vary; refer to documentation. Commonly documented withdrawal findings include dysphoric mood, fatigue, sleep disturbance, increased appetite, and psychomotor slowing or agitation.
When to use this code
Use F14.23 when the record clearly states cocaine dependence and withdrawal are both present. You should see provider documentation linking the withdrawal symptoms to cocaine use, not just a history of use.
Assign this code for encounters focused on managing withdrawal in a dependent patient. Check documentation if the note only says cocaine use, intoxication, or abuse without dependence.
Do not use for
Do not use this code for cocaine intoxication, uncomplicated dependence, or cocaine abuse. If withdrawal is not documented, choose the code that matches the recorded condition.
Coding tip
Verify that dependence and withdrawal are both documented before assigning F14.23.