F14.21 ICD-10-CM Code: Cocaine dependence, in remission
F14.21 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 coding software
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mental and behavioral disorders due to psychoactive substance use (F10-F19)
F14.21
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceCocaine dependence, in remission
A person who was dependent on cocaine but is no longer actively using it and has achieved a period of recovery or abstinence.
Buddy Insight
Cocaine dependence, in remission indicates a patient with a history of cocaine dependence who is no longer meeting active criteria for the disorder.
CMS-HCC V28
MappedHCC 137
Coefficient HCC 137: 0.424 (Community Non-Dual Aged (CNA))
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
MappedHCC 082
Code-level coefficient reference
ESRD/PACE
MappedHCC 55
Code-level coefficient reference
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Cocaine use disorder, moderate, in early remission
- Cocaine use disorder, moderate, in sustained remission
- Cocaine use disorder, severe, in early remission
- Cocaine use disorder, severe, in sustained remission
Excludes 2
Official- symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99, F14, F14.2
- other stimulant-related disorders (F15.-)Inherited from F01-F99, F14, F14.2
- cocaine poisoning (T40.5-)Inherited from F01-F99, F14, F14.2
Related Codes
Includes
Official- disorders of psychological developmentInherited from F01-F99
Excludes 1
Official- cocaine abuse (F14.1-)Inherited from F14.2
- cocaine use, unspecified (F14.9-)Inherited from F14.2
Code First
OfficialNo Code First sequencing instructions are included in this display for F14.21. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for F14.21. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for F14.21. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
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 F14.21 an HCC code?
Yes. F14.21 (Cocaine dependence, in remission) 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: F14.21 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
- F14.21
- Description
- Cocaine dependence, in remission
- 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
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 F14.21 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →
MEAT review for F14.21
For F14.21, 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
Get the V28 mapping + MEAT cheat sheet
One printable reference: check representative V28 mappings and the documentation reminders your note needs. Free, no card.
Free PDF. No card. Unsubscribe anytime.
What This Code Means
F14.21 is the ICD-10-CM diagnosis code for cocaine dependence, in remission. A person who was dependent on cocaine but is no longer actively using it and has achieved a period of recovery or abstinence. F14.21 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, F14.21 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. 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.
Cocaine dependence, in remission. Historical diagnosis with current sustained remission documented by the provider. For F14.21, 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 F14.21 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Cocaine dependence, in remission. Historical diagnosis with current sustained remission documented by the provider.
- •Do not drop the code at remission, it continues to risk-adjust. Distinguish from F14.20 based on current status.
- •Remission status is documentation-relevant; the HCC persists in remission.
Clinical Significance
Cocaine dependence, in remission indicates a patient with a history of cocaine dependence who is no longer meeting active criteria for the disorder. This code is important for risk adjustment because even in remission, patients with cocaine dependence history require ongoing monitoring, relapse prevention, and screening for long-term health consequences including cardiovascular disease, cognitive impairment, and psychiatric comorbidities. The remission status does not eliminate the ongoing care needs and relapse risk.
Documentation Requirements
- ✓Provider must document a history of cocaine dependence (not just abuse)
- ✓Clear statement that the patient is currently in remission
- ✓Specification of remission type if possible (early remission vs. sustained remission per DSM-5)
- ✓Documentation of ongoing recovery activities or treatment (if applicable)
- ✓Assessment of relapse risk factors
- ✓Screening for long-term health consequences of prior cocaine use
Commonly Confused Codes
- •F14.20: Cocaine dependence, uncomplicated: use when the patient still meets active dependence criteria
- •F14.11: Cocaine abuse, in remission: use when the previous pattern was abuse (not dependence)
- •Z87.898: Personal history of other specified risk factors: sometimes incorrectly used for substance use history
- •F14.21 vs. F14.20: Key distinction is whether the patient currently meets dependence criteria or is in remission