F14.14
BillableCocaine abuse with cocaine-induced mood disorder
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is F14.14 an HCC code?
Yes. F14.14 maps to Drug Use Disorder/Substance Use Disorder, Moderate/Severe under the CMS-HCC V28 risk adjustment model (and Drug/Alcohol Dependence under V24).
HCC Category Mapping
RAF weights shown are the community, non-dual, aged base weights from the CMS risk adjustment model file. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.
MEAT Criteria for F14.14
For F14.14 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically — it has to be re-documented and supported each calendar year.
- 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
Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed F14.14 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
F14.14 is the ICD-10-CM diagnosis code for cocaine abuse with cocaine-induced mood disorder. A person abuses cocaine and develops a mood disorder (such as depression or bipolar disorder) as a direct result of the cocaine use. F14.14 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, F14.14 maps to Drug Use Disorder/Substance Use Disorder, Moderate/Severe (HCC 137) with a community, non-dual, aged base RAF weight of 0.358. Under the older CMS-HCC V24 model, F14.14 maps to Drug/Alcohol Dependence (HCC 55) with a community, non-dual, aged base RAF weight of 0.334. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.
The mood disorder must be documented as induced by cocaine use, not a pre-existing condition; if pre-existing, code separately. Because F14.14 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. 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, RAF weights, and MEAT documentation criteria for F14.14 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •The mood disorder must be documented as induced by cocaine use, not a pre-existing condition; if pre-existing, code separately
- •Specify the type of mood disorder if documented (depressive, bipolar, etc.) in addition to this code
Clinical Significance
Cocaine abuse with cocaine-induced mood disorder captures a dual condition where the patient's cocaine use has directly caused a mood disturbance such as depression, mania, or mixed features. This is clinically important because it indicates the substance use has progressed beyond simple intoxication to producing persistent psychiatric effects that may require treatment even after cocaine cessation. The mood disorder must be causally linked to cocaine rather than being a pre-existing primary mood disorder.
Documentation Requirements
- ✓Provider documentation of cocaine abuse (not dependence) pattern
- ✓Clear statement that the mood disorder is induced by cocaine use (causal relationship)
- ✓Description of the specific mood disturbance (depressive features, manic features, or mixed)
- ✓Documentation ruling out pre-existing primary mood disorders (e.g., Major Depressive Disorder, Bipolar Disorder)
- ✓Temporal relationship showing mood symptoms developed during or shortly after cocaine use
- ✓Current treatment plan addressing both the substance abuse and the induced mood disorder
Commonly Confused Codes
- •F14.24 — Cocaine dependence with cocaine-induced mood disorder: use when the pattern meets dependence rather than abuse criteria
- •F14.180 — Cocaine abuse with cocaine-induced anxiety disorder: use when the primary induced condition is anxiety rather than mood disturbance
- •F32.9 — Major depressive disorder, single episode, unspecified: use only when depression is a primary condition, not substance-induced
- •F14.13 — Cocaine abuse with withdrawal: withdrawal includes depressive symptoms but is coded differently than an induced mood disorder
- •F14.94 — Cocaine use, unspecified with cocaine-induced mood disorder: use when abuse vs. dependence cannot be determined