ICD code F14.90 is used to classify unspecified, uncomplicated cocaine use in medical records for accurate diagnosis and treatment tracking.
ICD code F14.90 is used to indicate cocaine use that is unspecified and uncomplicated. This means that the individual has used cocaine, but there are no additional details provided about the frequency, method, or context of use, and there are no associated complications or disorders documented. This code is typically used when the healthcare provider has identified cocaine use but lacks further specifics to classify it under more detailed categories.
1. Presence of Cocaine Use: The individual has a history or current use of cocaine, but the specifics of the use are not detailed or specified.
2. Absence of Complications: There are no documented complications or associated conditions resulting from cocaine use, such as withdrawal symptoms, intoxication, or cocaine-induced disorders.
3. Lack of Specificity in Use: The frequency, duration, or pattern of cocaine use is not specified. This includes cases where the use is acknowledged but not detailed in terms of quantity or regularity.
4. No Co-occurring Substance Use Disorders: The individual does not have a documented co-occurring substance use disorder that complicates the diagnosis.
5. No Behavioral or Psychological Symptoms: There are no significant behavioral or psychological symptoms directly attributed to cocaine use that would necessitate a more specific diagnosis.
6. General Acknowledgment of Use: The diagnosis is based on a general acknowledgment or report of cocaine use without further elaboration on the context or consequences of use.
7. Clinical Judgment: The healthcare provider uses clinical judgment to determine that the use is uncomplicated and does not meet criteria for a more specific or severe diagnosis related to cocaine use.
For the ICD code F14.90, which pertains to cocaine use, unspecified, uncomplicated, the relevant CPT codes that may be applicable for treatment and management include:
1. 99201-99215: Evaluation and Management (E/M) services for new or established patients, which may include office or other outpatient visits.
2. H0001: Alcohol and/or drug assessment, which can be used for the initial evaluation of substance use disorders.
3. H0004: Behavioral health counseling and therapy, per 15 minutes, which can be used for individual therapy sessions.
4. H0005: Alcohol and/or drug services; group counseling by a clinician, which is applicable for group therapy sessions.
5. H0038: Self-help/peer services, per 15 minutes, which may be used for peer support services.
6. H0047: Alcohol and/or other drug abuse services, not otherwise specified, which can be used for various unspecified treatment services.
7. 90832-90838: Psychotherapy codes, which cover individual psychotherapy sessions of varying lengths.
8. G0396: Alcohol and/or substance abuse structured assessment and intervention services, 15 to 30 minutes.
9. G0397: Alcohol and/or substance abuse structured assessment and intervention services, greater than 30 minutes.
These CPT codes are typically used in the context of providing treatment and management services for individuals with substance use disorders, including those related to cocaine use. It is important for healthcare providers to select the appropriate CPT codes based on the specific services rendered and the clinical context.
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