ICD-10 Code F14.981 – Cocaine use, unspecified with cocaine-induced sexual dysfunction (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F14.981 – Cocaine use, unspecified with cocaine-induced sexual dysfunction
What it is
This code identifies cocaine use when the patient has sexual dysfunction caused by cocaine. It applies when the chart links the sexual problem directly to cocaine use, but the specific pattern of use is not documented.
Clinical signs
Clinical features vary; refer to documentation. Commonly documented findings include reduced libido, erectile dysfunction, delayed orgasm, or other sexual performance problems temporally associated with cocaine use.
When to use this code
Use this code when the provider documents cocaine use and states that the sexual dysfunction is cocaine-induced. It fits encounters where the diagnosis is based on history, assessment, or psychiatric evaluation rather than a separate organic cause.
Code it when the record does not specify a more precise cocaine use disorder category. If another medical condition explains the dysfunction, or the link to cocaine is not documented, check documentation.
Do not use for
Do not use this code for sexual dysfunction from non-cocaine causes, such as medication effects or endocrine disease. Do not use it when cocaine use is documented without a causal link to the sexual dysfunction.
Coding tip
Confirm that the provider explicitly connects the sexual dysfunction to cocaine use before assigning F14.981.