F14.182
BillableCocaine abuse with cocaine-induced sleep disorder
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is F14.182 an HCC code?
Yes. F14.182 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 F14.182
For F14.182 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 F14.182 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
F14.182 is the ICD-10-CM diagnosis code for cocaine abuse with cocaine-induced sleep disorder. A person who abuses cocaine and develops sleep problems (insomnia or other sleep disturbances) caused by the cocaine use. F14.182 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, F14.182 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, F14.182 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.
Verify documentation attributes the sleep disorder to cocaine abuse rather than other causes. Because F14.182 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 F14.182 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify documentation attributes the sleep disorder to cocaine abuse rather than other causes
- •Cocaine typically causes insomnia; document the specific sleep disturbance if possible
Clinical Significance
Cocaine abuse with cocaine-induced sleep disorder reflects the significant impact cocaine has on sleep architecture. Cocaine's stimulant properties commonly cause insomnia during use and hypersomnia during withdrawal periods. Chronic disruption of sleep contributes to cognitive impairment, mood instability, and relapse risk. This code captures a recognized complication of cocaine abuse that often requires targeted treatment intervention beyond substance abuse counseling alone.
Documentation Requirements
- ✓Provider documentation of cocaine abuse pattern
- ✓Specific sleep disturbance documented (insomnia, hypersomnia, circadian rhythm disruption, nightmares)
- ✓Causal relationship between cocaine use and the sleep disorder established
- ✓Documentation ruling out primary sleep disorders (obstructive sleep apnea, restless leg syndrome)
- ✓Impact of sleep disturbance on daily functioning and recovery
- ✓Timeline of sleep disorder relative to cocaine use pattern
Commonly Confused Codes
- •F14.282 — Cocaine dependence with cocaine-induced sleep disorder: use when the pattern is dependence
- •G47.00 — Insomnia, unspecified: use when insomnia is not related to cocaine use
- •F14.13 — Cocaine abuse with withdrawal: withdrawal commonly includes sleep disturbance but is coded separately
- •F14.982 — Cocaine use, unspecified with cocaine-induced sleep disorder: use when abuse vs. dependence is unclear
- •F14.188 — Cocaine abuse with other cocaine-induced disorder: use for other induced conditions not specifically categorized