What is ICD-10 code F14.23?

F14.23 is the ICD-10-CM diagnosis code for Cocaine dependence with withdrawal. A person is dependent on cocaine and is experiencing withdrawal symptoms after stopping or reducing cocaine use. It belongs to the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99). F14.23 is a billable code, meaning it can be reported on a claim as a primary or secondary diagnosis when supported by documentation. F14.23 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. F14.23 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. F14.23 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.

Which HCC does F14.23 map to under V28?

F14.23 maps to CMS-HCC V28 HCC 137 (Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications). The category numbers, labels, and conditions come from the CMS-HCC V28 model file for payment year 2026.

2026 ICD-10-CM F14.23: Cocaine dependence

F14.23 maps to CMS-HCC V28 137. A source-labeled RAF reference is available. Documentation must support MEAT. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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 lookupF14.23Effective 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)

F14.23

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

Cocaine dependence with withdrawal

A person is dependent on cocaine and is experiencing withdrawal symptoms after stopping or reducing cocaine use.

Buddy Insight

Cocaine dependence with withdrawal captures a clinically significant state where a dependent patient has stopped or reduced cocaine use and is experiencing withdrawal symptoms.

CMS-HCC V28

Mapped

HCC 137

Drug Use Disorder, Moderate/S...

Code-level coefficient reference

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

Mapped

HCC 082

HHS-HCC 082 adult, RAF varies...

Code-level coefficient reference

ESRD/PACE

Mapped

HCC 55

Substance Use Disorder/Modera...

Code-level coefficient reference

RXHCC

N/A

—

Not risk-adjusted for this model/period.

Not mapped

Code Book Path

Official

F14Cocaine related disorders

F14.2Cocaine dependence

F14.23Cocaine dependence with withdrawal

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F14.23 in this effective period.

Excludes 2

Official

cocaine poisoning (T40.5-)

Related Child Codes

Official

F14.20Cocaine dependence, uncomplicated

F14.21Cocaine dependence, in remission

F14.22Cocaine dependence with intoxication

F14.24Cocaine dependence with cocaine-induced mood disorder

F14.25Cocaine dependence with cocaine-induced psychotic disorder

Includes

Official

ICD-10-CM does not list Includes notes for F14.23 in this effective period.

Excludes 1

Official

cocaine dependence with intoxication (F14.22-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F14.23 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F14.23 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F14.23 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance

Provider documentation of cocaine dependence (not abuse)

Documentation of recent cessation or significant reduction in cocaine use

Specific withdrawal symptoms described (dysphoria, fatigue, vivid unpleasant dreams, insomnia or hypersomnia, increased appetite, psychomotor retardation or agitation)

Timeline of symptom onset relative to last cocaine use

MEAT Support

HCC Buddy guidance

Provider documentation of cocaine dependence (not abuse)

Documentation of recent cessation or significant reduction in cocaine use

Specific withdrawal symptoms described (dysphoria, fatigue, vivid unpleasant dreams, insomnia or hypersomnia, increased appetite, psychomotor retardation or agitation)

Timeline of symptom onset relative to last cocaine use

Audit Caution

HCC Buddy guidance

Coding withdrawal while the patient is still actively using cocaine

Confusing the depressive symptoms of withdrawal with a primary depressive disorder

Using an abuse code (F14.13) when the pattern actually meets dependence criteria

Not documenting specific withdrawal symptoms, leaving the code unsupported

Common Mistakes

HCC Buddy guidance

F14.13 — Cocaine abuse with withdrawal: use when the substance use pattern is abuse, not dependence

F14.24 — Cocaine dependence with cocaine-induced mood disorder: use when persistent mood disorder extends beyond typical withdrawal timeline

F14.20 — Cocaine dependence, uncomplicated: use when NO withdrawal symptoms are present

F14.220 — Cocaine dependence with intoxication, uncomplicated: opposite scenario; patient is intoxicated, not withdrawing

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 F14.23 an HCC code?

Yes. F14.23 (Cocaine dependence with withdrawal) 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: F14.23 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: F14.23
Description: Cocaine dependence with withdrawal
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 F14.23 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT Criteria for F14.23

For F14.23 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 F14.23 during that encounter, not just copy-forwarded from a problem list.

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

F14.23 is the ICD-10-CM diagnosis code for cocaine dependence with withdrawal. A person is dependent on cocaine and is experiencing withdrawal symptoms after stopping or reducing cocaine use. F14.23 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, F14.23 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 F14.23; use the applicable model and payment year when reviewing the V28 mapping. 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. 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 withdrawal symptoms may include depression, fatigue, anhedonia, and increased appetite. Because F14.23 maps to an HCC category, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) before the diagnosis is used for risk adjustment. 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 F14.23 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•Cocaine withdrawal symptoms may include depression, fatigue, anhedonia, and increased appetite
•Document the timeline and severity of withdrawal symptoms to support medical necessity for treatment

Clinical Significance

Cocaine dependence with withdrawal captures a clinically significant state where a dependent patient has stopped or reduced cocaine use and is experiencing withdrawal symptoms. Cocaine withdrawal primarily manifests as a severe 'crash' with profound dysphoria, anhedonia, fatigue, hypersomnia, and increased appetite. Unlike alcohol or benzodiazepine withdrawal, cocaine withdrawal is not typically life-threatening but carries significant suicide risk due to severe depression. The withdrawal phase is a critical treatment opportunity.

Documentation Requirements

✓Provider documentation of cocaine dependence (not abuse)
✓Documentation of recent cessation or significant reduction in cocaine use
✓Specific withdrawal symptoms described (dysphoria, fatigue, vivid unpleasant dreams, insomnia or hypersomnia, increased appetite, psychomotor retardation or agitation)
✓Timeline of symptom onset relative to last cocaine use
✓Suicide risk assessment given the depression associated with cocaine withdrawal
✓Treatment plan for managing withdrawal symptoms

Excludes 1, Do NOT code together

cocaine dependence with intoxication (F14.22-)

Commonly Confused Codes

•F14.13: Cocaine abuse with withdrawal: use when the substance use pattern is abuse, not dependence
•F14.24: Cocaine dependence with cocaine-induced mood disorder: use when persistent mood disorder extends beyond typical withdrawal timeline
•F14.20: Cocaine dependence, uncomplicated: use when NO withdrawal symptoms are present
•F14.220: Cocaine dependence with intoxication, uncomplicated: opposite scenario; patient is intoxicated, not withdrawing
•F14.93: Cocaine use, unspecified with withdrawal: use when abuse vs. dependence is unclear