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F14.222 ICD-10-CM Code: Cocaine dependence with intoxication with perceptual disturbance

F14.222 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

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Code lookupF14.222

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

F14.222

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

Cocaine dependence with intoxication with perceptual disturbance

A person is dependent on cocaine and is currently intoxicated with distorted perceptions or hallucinations as a result of the drug use.

Buddy the Bee presenting code insight

Buddy Insight

Cocaine dependence with intoxication with perceptual disturbance indicates a dependent patient experiencing sensory misperceptions during acute intoxication, such as visual trails, tactile hallucinations (formication), or auditory disturbances.

OverviewRisk ModelsCode BookDocumentationAuditNotesEdition comparison

CMS-HCC V28

HCC 137

Coefficient HCC 137: 0.424 (Community Non-Dual Aged (CNA))

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 082

Code-level coefficient reference

ESRD/PACE

HCC 55

Code-level coefficient reference

RXHCC

N/A

—

Not mapped

Code Book Path

Official
F14.2Cocaine dependenceF14.22Cocaine dependence with intoxicationF14.222Cocaine dependence with intoxication with perceptual disturbance

Inclusion Terms

Official

No inclusion terms are included in this display for F14.222. 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, 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

Official
F14.220Cocaine dependence with intoxication, uncomplicatedF14.221Cocaine dependence with intoxication deliriumF14.229Cocaine dependence with intoxication, unspecified

Includes

Official
  • disorders of psychological developmentInherited from F01-F99

Excludes 1

Official
  • cocaine abuse (F14.1-)Inherited from F14.2, F14.22
  • cocaine use, unspecified (F14.9-)Inherited from F14.2, F14.22
  • cocaine dependence with withdrawal (F14.23)Inherited from F14.2, F14.22

Code First

Official

No Code First sequencing instructions are included in this display for F14.222. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F14.222. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F14.222. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Provider documentation of cocaine dependence
Documentation of active intoxication at time of encounter
Specific description of perceptual disturbances (type and nature of sensory misperceptions)
Documentation confirming the disturbances are transient and related to intoxication (not a persistent psychotic disorder)

MEAT Support

HCC Buddy guidance
Provider documentation of cocaine dependence
Documentation of active intoxication at time of encounter
Specific description of perceptual disturbances (type and nature of sensory misperceptions)
Documentation confirming the disturbances are transient and related to intoxication (not a persistent psychotic disorder)

Audit Caution

HCC Buddy guidance
Confusing transient perceptual disturbance with cocaine-induced psychotic disorder
Using this code when the perceptual symptoms persist beyond the intoxication period (suggesting psychotic disorder instead)
Coding abuse when the pattern supports dependence
Not documenting the specific type of perceptual disturbance to support the code

Common Mistakes

HCC Buddy guidance
F14.220 — Cocaine dependence with intoxication, uncomplicated: use when NO perceptual disturbances are present
F14.221 — Cocaine dependence with intoxication delirium: use when acute confusion/disorientation is the primary feature
F14.251 — Cocaine dependence with cocaine-induced psychotic disorder with hallucinations: use when symptoms meet full psychotic disorder criteria beyond transient intoxication effects
F14.122 — Cocaine abuse with intoxication with perceptual disturbance: use when the pattern is abuse rather than dependence

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 F14.222 an HCC code?

Yes. F14.222 (Cocaine dependence 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: F14.222 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
F14.222
Description
Cocaine dependence 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 F14.222 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F14.222

For F14.222, 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

F14.222 is the ICD-10-CM diagnosis code for cocaine dependence with intoxication with perceptual disturbance. A person is dependent on cocaine and is currently intoxicated with distorted perceptions or hallucinations as a result of the drug use. F14.222 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, F14.222 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 F14.222; 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.

This code requires documentation of both cocaine dependence and active intoxication with perceptual disturbances. For F14.222, 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 F14.222 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • •This code requires documentation of both cocaine dependence and active intoxication with perceptual disturbances
  • •Perceptual disturbances may include visual, auditory, or tactile hallucinations during acute cocaine intoxication

Clinical Significance

Cocaine dependence with intoxication with perceptual disturbance indicates a dependent patient experiencing sensory misperceptions during acute intoxication, such as visual trails, tactile hallucinations (formication), or auditory disturbances. While less severe than full psychosis or delirium, perceptual disturbances indicate significant neurotoxicity and can escalate to more serious complications. This condition may require monitored observation and distinguishing from evolving psychosis.

Documentation Requirements

  • ✓Provider documentation of cocaine dependence
  • ✓Documentation of active intoxication at time of encounter
  • ✓Specific description of perceptual disturbances (type and nature of sensory misperceptions)
  • ✓Documentation confirming the disturbances are transient and related to intoxication (not a persistent psychotic disorder)
  • ✓Vital signs and neurological assessment
  • ✓Assessment distinguishing perceptual disturbance from delirium or psychosis

Commonly Confused Codes

  • •F14.220: Cocaine dependence with intoxication, uncomplicated: use when NO perceptual disturbances are present
  • •F14.221: Cocaine dependence with intoxication delirium: use when acute confusion/disorientation is the primary feature
  • •F14.251: Cocaine dependence with cocaine-induced psychotic disorder with hallucinations: use when symptoms meet full psychotic disorder criteria beyond transient intoxication effects
  • •F14.122: Cocaine abuse with intoxication with perceptual disturbance: use when the pattern is abuse rather than dependence
  • •F14.229: Cocaine dependence with intoxication, unspecified: use when the type of intoxication complication is not specified

Child Codes

F14.220Cocaine dependence with intoxication, uncomplicated
HCC 137
F14.221Cocaine dependence with intoxication delirium
HCC 137
F14.222Cocaine dependence with intoxication with perceptual disturbance
HCC 137
F14.229Cocaine dependence with intoxication, unspecified
HCC 137

Code Hierarchy

└F14Cocaine related disorders└F14.2Cocaine dependence└F14.22Cocaine dependence with intoxication└F14.222Cocaine dependence with intoxication with perceptual disturbance
└F14.222Cocaine dependence with intoxication with perceptual disturbance

Also searched as

  • F14 222
  • F14222

For F14.222, 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.

F14.222 maps to CMS-HCC V28 category 137, Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for F14.222. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

Work F14.222 in HCC Buddy

Open F14.222 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.

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