What is ICD-10 code F14.122?

F14.122 is the ICD-10-CM diagnosis code for Cocaine abuse with intoxication with perceptual disturbance. A person abuses cocaine and is currently intoxicated, experiencing hallucinations or other distorted perceptions. It belongs to the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99). F14.122 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. F14.122 is part of the FY2026 ICD-10-CM code set published by the CMS National Center for Health Statistics and used on Medicare, Medicaid, and commercial claims in the United States.

Yes. F14.122 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. F14.122 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Which HCC does F14.122 map to under V28?

F14.122 maps to CMS-HCC V28 HCC 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications). The category numbers, labels, and conditions come from the CMS-HCC V28 model file for payment year 2026.

2026 ICD-10-CM F14.122: Cocaine abuse

F14.122 maps to CMS-HCC V28 137. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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Code lookupF14.122

Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)

F14.122

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Cocaine abuse with intoxication with perceptual disturbance

A person abuses cocaine and is currently intoxicated, experiencing hallucinations or other distorted perceptions.

Buddy Insight

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

Mapped

HCC 137

Drug Use Disorder, Moderate/S...

Code-level coefficient reference

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

Mapped

HCC 082

HHS-HCC 082 adult, RAF varies...

Code-level coefficient reference

ESRD/PACE

Mapped

HCC 55

Substance Use Disorder/Modera...

Code-level coefficient reference

RXHCC

N/A

—

Not risk-adjusted for this model/period.

Not mapped

Code Book Path

Official

F14.1Cocaine abuse F14.12Cocaine abuse with intoxication F14.122Cocaine abuse with intoxication with perceptual disturbance

Inclusion Terms

Official

No inclusion terms are included in this display for F14.122. Check the code and parent instructions in the Code Book.

Excludes 2

Official

symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99, F14
other stimulant-related disorders (F15.-)Inherited from F01-F99, F14

Related Codes

Official

F14.120Cocaine abuse with intoxication, uncomplicated F14.121Cocaine abuse with intoxication with delirium F14.129Cocaine abuse with intoxication, unspecified

Includes

Official

disorders of psychological developmentInherited from F01-F99

Excludes 1

Official

cocaine dependence (F14.2-)Inherited from F14.1
cocaine use, unspecified (F14.9-)Inherited from F14.1

Code First

Official

No Code First sequencing instructions are included in this display for F14.122. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F14.122. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F14.122. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance

Provider must document cocaine as the specific substance being abused

Documentation must establish abuse pattern (not dependence) per DSM-5 criteria

Active intoxication at the time of encounter must be noted

Specific perceptual disturbances must be described (e.g., visual hallucinations, tactile hallucinations such as formication, auditory disturbances)

MEAT Support

HCC Buddy guidance

Provider must document cocaine as the specific substance being abused

Documentation must establish abuse pattern (not dependence) per DSM-5 criteria

Active intoxication at the time of encounter must be noted

Specific perceptual disturbances must be described (e.g., visual hallucinations, tactile hallucinations such as formication, auditory disturbances)

Audit Caution

HCC Buddy guidance

Confusing perceptual disturbance (transient sensory misperception during intoxication) with a full cocaine-induced psychotic disorder requiring F14.150/F14.151

Failing to distinguish between abuse and dependence status, which changes the code to the F14.2xx series

Using this code when cocaine use is documented but the pattern does not meet the clinical threshold for abuse

Coding perceptual disturbance without documentation that it occurred during active intoxication

Common Mistakes

HCC Buddy guidance

F14.120 — Cocaine abuse with intoxication, uncomplicated: use when intoxication is present but NO perceptual disturbance or delirium is documented

F14.121 — Cocaine abuse with intoxication delirium: use when confusion/disorientation (delirium) is the primary feature rather than perceptual disturbance alone

F14.150 — Cocaine abuse with cocaine-induced psychotic disorder with delusions: use when the perceptual symptoms have evolved into a full psychotic disorder with fixed false beliefs

F14.222 — Cocaine dependence with intoxication with perceptual disturbance: use when the pattern meets criteria for dependence rather than abuse

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is F14.122 an HCC code?

Yes. F14.122 (Cocaine abuse with intoxication with perceptual disturbance) maps to HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.424. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: F14.122 is billable and maps to V28 HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code: F14.122
Description: Cocaine abuse with intoxication with perceptual disturbance
HCC (V28): HCC 137 — Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications
RAF reference coefficient: 0.424
Billable: Yes
Payment year: 2026

HCC Category Mapping

V28HCC 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications

0.424

ESRDHCC 55, Substance Use Disorder/Moderate/Severe/Substance Use with Complications

Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work F14.122 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F14.122

For F14.122, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
EEvaluate: test results, medication response, or physical findings reviewed by the provider
AAssess: explicit mention in the assessment or plan with acknowledgment of status
TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Coder workflow notes

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What This Code Means

F14.122 is the ICD-10-CM diagnosis code for cocaine abuse with intoxication with perceptual disturbance. A person abuses cocaine and is currently intoxicated, experiencing hallucinations or other distorted perceptions. F14.122 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mental and behavioral disorders due to psychoactive substance use (f10-f19).

Under the CMS-HCC V28 risk adjustment model, F14.122 maps to Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications (HCC 137) with a source-labeled community, non-dual, aged reference coefficient of 0.424. No V24 mapping is shown for F14.122; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Perceptual disturbance includes hallucinations, illusions, or other sensory misperceptions during cocaine intoxication. For F14.122, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F14.122 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•Perceptual disturbance includes hallucinations, illusions, or other sensory misperceptions during cocaine intoxication
•Document the specific type of perceptual disturbance if possible (visual, auditory, tactile, etc.)

Clinical Significance

Cocaine abuse with intoxication featuring perceptual disturbance represents an acute, complicated presentation that indicates the patient's cocaine use has escalated to produce sensory misperceptions such as hallucinations or illusions. This is clinically significant because perceptual disturbances during cocaine intoxication can signal neurotoxicity and increase the risk of dangerous behavior, self-harm, or progression to cocaine-induced psychosis. Accurate capture is essential for risk adjustment as it reflects higher acuity substance use requiring more intensive monitoring and treatment resources.

Documentation Requirements

✓Provider must document cocaine as the specific substance being abused
✓Documentation must establish abuse pattern (not dependence) per DSM-5 criteria
✓Active intoxication at the time of encounter must be noted
✓Specific perceptual disturbances must be described (e.g., visual hallucinations, tactile hallucinations such as formication, auditory disturbances)
✓Temporal relationship between cocaine use and onset of perceptual disturbance must be established
✓Assessment ruling out primary psychotic disorder as the cause of perceptual disturbance

Commonly Confused Codes

•F14.120: Cocaine abuse with intoxication, uncomplicated: use when intoxication is present but NO perceptual disturbance or delirium is documented
•F14.121: Cocaine abuse with intoxication delirium: use when confusion/disorientation (delirium) is the primary feature rather than perceptual disturbance alone
•F14.150: Cocaine abuse with cocaine-induced psychotic disorder with delusions: use when the perceptual symptoms have evolved into a full psychotic disorder with fixed false beliefs
•F14.222: Cocaine dependence with intoxication with perceptual disturbance: use when the pattern meets criteria for dependence rather than abuse
•F14.129: Cocaine abuse with intoxication, unspecified: less specific code when perceptual disturbance is not documented