What is ICD-10 code F14.150?

F14.150 is the ICD-10-CM diagnosis code for Cocaine abuse with cocaine-induced psychotic disorder with delusions. A person who abuses cocaine and experiences psychotic symptoms, specifically false beliefs (delusions) caused by the cocaine use. It belongs to the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99). F14.150 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. F14.150 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. F14.150 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. F14.150 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.

What is the V28 vs V24 difference for F14.150?

CMS phased in the V28 risk adjustment model over payment years 2024 (33%), 2025 (67%), and 2026 (100%), replacing V24. V28 consolidates HCC categories, removes some lower-acuity conditions, and recalibrates RAF weights across the entire model. For F14.150, V28 maps to Drug/Alcohol Psychosis at RAF 0.000 while V24 mapped to Drug/Alcohol Psychosis at RAF 0.434. Both models can still appear in legacy data and in payer-specific lookback periods.

What should coders know when reporting F14.150?

Verify documentation clearly states cocaine abuse (not dependence) and that delusions are cocaine-induced Do not use this code if the psychotic disorder existed before cocaine use began Because F14.150 maps to a payment HCC, the documentation must also satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's risk adjustment score.

F14.150 ICD-10 Code: Cocaine abuse

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

Code lookupF14.150Effective 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)

F14.150

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

Cocaine abuse with cocaine-induced psychotic disorder with delusions

A person who abuses cocaine and experiences psychotic symptoms, specifically false beliefs (delusions) caused by the cocaine use.

Buddy Insight

Cocaine abuse with cocaine-induced psychotic disorder with delusions represents a serious psychiatric complication of cocaine use.

CMS-HCC V28

Mapped

HCC 135

Drug/Alcohol Psychosis

RAF 0.0

CMS-HCC V24

Mapped

HCC 54

Drug/Alcohol Psychosis

RAF 0.434

ACA/HHS

Not risk-adjusted for this model/period.

RAF 0

ESRD/PACE

Mapped

HCC 54

Drug/Alcohol Psychosis

RAF 0.0

RXHCC

Not risk-adjusted for this model/period.

RAF 0

Code Trumping

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Compare selected patient codes to show trumped or trumps impact.

Code Book Path

Official

F14.1Cocaine abuse

F14.15Cocaine abuse with cocaine-induced psychotic disorder

F14.150Cocaine abuse with cocaine-induced psychotic disorder with delusions

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F14.150 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for F14.150 in this effective period.

Related Child Codes

Official

F14.151Cocaine abuse with cocaine-induced psychotic disorder with hallucinations

F14.159Cocaine abuse with cocaine-induced psychotic disorder, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for F14.150 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for F14.150 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F14.150 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F14.150 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F14.150 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance

Provider documentation of cocaine abuse (not dependence)

Clear documentation that the psychotic disorder is induced by cocaine use

Specific description of delusions present (paranoid, grandiose, referential, somatic, etc.)

Documentation ruling out primary psychotic disorders (e.g., Schizophrenia, Schizoaffective Disorder, Delusional Disorder)

MEAT Support

HCC Buddy guidance

Provider documentation of cocaine abuse (not dependence)

Clear documentation that the psychotic disorder is induced by cocaine use

Specific description of delusions present (paranoid, grandiose, referential, somatic, etc.)

Documentation ruling out primary psychotic disorders (e.g., Schizophrenia, Schizoaffective Disorder, Delusional Disorder)

Audit Caution

HCC Buddy guidance

Confusing transient perceptual disturbances during intoxication (F14.122) with a full cocaine-induced psychotic disorder

Failing to distinguish cocaine-induced psychosis from primary psychotic disorders, which have different coding

Not specifying whether the psychotic symptoms are delusions vs. hallucinations when documentation supports specificity

Coding abuse when the pattern actually meets dependence criteria

Common Mistakes

HCC Buddy guidance

F14.151 — Cocaine abuse with cocaine-induced psychotic disorder with hallucinations: use when the primary psychotic symptom is hallucinations rather than delusions

F14.159 — Cocaine abuse with cocaine-induced psychotic disorder, unspecified: use when psychosis is present but the specific type cannot be determined

F14.122 — Cocaine abuse with intoxication with perceptual disturbance: use for transient perceptual changes during intoxication that do not meet psychotic disorder criteria

F14.250 — Cocaine dependence with cocaine-induced psychotic disorder with delusions: use when the pattern is dependence rather than abuse

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is F14.150 an HCC code?

Yes. F14.150 maps to Drug/Alcohol Psychosis under the CMS-HCC V28 risk adjustment model (and Drug/Alcohol Psychosis under V24).

HCC Category Mapping

V28HCC 135, Drug/Alcohol Psychosis

0.000

V24HCC 54, Drug/Alcohol Psychosis

0.434

ESRDHCC 54, Drug/Alcohol Psychosis

0.000

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 F14.150

For F14.150to 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 F14.150 during that encounter, not just copy-forwarded from a problem list.

What This Code Means

F14.150 is the ICD-10-CM diagnosis code for cocaine abuse with cocaine-induced psychotic disorder with delusions. A person who abuses cocaine and experiences psychotic symptoms, specifically false beliefs (delusions) caused by the cocaine use. F14.150 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, F14.150 maps to Drug/Alcohol Psychosis (HCC 135) with a community, non-dual, aged base RAF weight of 0.000. Under the older V24 model, F14.150 mapped to the same category but with a base RAF weight of 0.434, V28 recalibrated weights across the entire model. 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.

Verify documentation clearly states cocaine abuse (not dependence) and that delusions are cocaine-induced. Because F14.150 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 F14.150 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•Verify documentation clearly states cocaine abuse (not dependence) and that delusions are cocaine-induced
•Do not use this code if the psychotic disorder existed before cocaine use began

Clinical Significance

Cocaine abuse with cocaine-induced psychotic disorder with delusions represents a serious psychiatric complication of cocaine use. The patient has developed fixed false beliefs directly attributable to cocaine, such as paranoid delusions of persecution. This is a higher-acuity condition than simple intoxication or mood disturbance, indicating significant neurotoxicity. Cocaine-induced psychosis with delusions may require psychiatric hospitalization, antipsychotic treatment, and carries risk for violent behavior driven by paranoid ideation.

Documentation Requirements

✓Provider documentation of cocaine abuse (not dependence)
✓Clear documentation that the psychotic disorder is induced by cocaine use
✓Specific description of delusions present (paranoid, grandiose, referential, somatic, etc.)
✓Documentation ruling out primary psychotic disorders (e.g., Schizophrenia, Schizoaffective Disorder, Delusional Disorder)
✓Temporal relationship between cocaine use and onset of delusions
✓Mental status examination findings supporting presence of delusions
✓Assessment of danger to self or others due to delusional content

Commonly Confused Codes

•F14.151 — Cocaine abuse with cocaine-induced psychotic disorder with hallucinations: use when the primary psychotic symptom is hallucinations rather than delusions
•F14.159 — Cocaine abuse with cocaine-induced psychotic disorder, unspecified: use when psychosis is present but the specific type cannot be determined
•F14.122 — Cocaine abuse with intoxication with perceptual disturbance: use for transient perceptual changes during intoxication that do not meet psychotic disorder criteria
•F14.250 — Cocaine dependence with cocaine-induced psychotic disorder with delusions: use when the pattern is dependence rather than abuse
•F22 — Delusional disorders: use only when the delusions are a primary condition, not substance-induced