2026 ICD-10-CM Diagnosis Code F14.281Cocaine dependence with cocaine-induced sexual dysfunction

ICD-10-CM Codes›F01–F99›F10-F19›F14

ICD-10-CM F14.281
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

F14.281 is a billable ICD-10-CM diagnosis code for cocaine dependence with cocaine-induced sexual dysfunction. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 894 through 897. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Stimulant-related disorders.

Code Identity

ICD-10-CM Code
F14.281
Billable Status
Yes — Valid for Submission
Code Describes
Cocaine dependence with cocaine-induced sexual dysfunction
Short Description
Cocaine dependence with cocaine-induced sexual dysfunction
Same as the full description in the CMS dataset.
Parent Code
F14.28
Cocaine dependence with other cocaine-induced disorder

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF10-F19Mental and behavioral disorders due to psychoactive substance use
CategoryF14Cocaine related disorders
This CodeF14.281Cocaine dependence with cocaine-induced sexual dysfunction

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Dependence(on) (syndrome)
      • drug NEC
        • cocaine
          • with
            • sexual dysfunction
    • Disorder(of)
      • cocaine use
        • moderate or severe
          • with
            • cocaine-induced
              • sexual dysfunction
    • Dysfunction
      • sexual (due to)
        • cocaine
          • in
            • dependence

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD021
Stimulant-related disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Cocaine

Cocaine is a very addictive drug that is made from leaves of the coca plant found in South America. It is mostly available as an illegal drug that some people use to get high. In rare cases, it is also used as a prescription drug for for anesthesia during certain surgeries.

The full article covers:

  • What is cocaine?
  • How do people use cocaine?
  • What are the short-term effects of cocaine?
  • What are the long-term effects of cocaine?
  • Can a person overdose on cocaine?
  • What are the treatments for cocaine use disorder?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert F14.281 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
292.89 Drug mental disorder NEC
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.
ICD-9-CM
304.20 Cocaine depend-unspec
ApproximateCombination The match is approximate, and more than one code can be needed to describe the source diagnosis. Confirm with contextual judgment.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About F14.281Overview

Is F14.281 (Cocaine dependence with other cocaine-induced disorder) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report cocaine dependence with cocaine-induced sexual dysfunction on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does F14.281 group to?

When cocaine dependence with cocaine-induced sexual dysfunction is the principal diagnosis on an inpatient stay, it groups to MS-DRG 894, 895, 896, 897, with relative weights from 0.6169 to 1.7451 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of F14.281?

Under the General Equivalence Mappings, cocaine dependence with cocaine-induced sexual dysfunction converts to ICD-9-CM 292.89 (drug mental disorder NEC) and 304.20 (cocaine depend-unspec). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.