F14.288
BillableCocaine dependence with other cocaine-induced disorder
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is F14.288 an HCC code?
Yes. F14.288 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 F14.288
For F14.288to 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 F14.288 during that encounter — not just copy-forwarded from a problem list.
What This Code Means
F14.288 is the ICD-10-CM diagnosis code for cocaine dependence with other cocaine-induced disorder. A person is dependent on cocaine and has developed another medical or psychiatric condition caused by the cocaine use that is not covered by the more specific codes. F14.288 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, F14.288 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, F14.288 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.
Document the specific cocaine-induced disorder in the medical record (e.g., anxiety disorder, cognitive impairment). Because F14.288 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 F14.288 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Document the specific cocaine-induced disorder in the medical record (e.g., anxiety disorder, cognitive impairment)
- •Use this code only when the condition does not fit into the more specific F14.28x subcategories
Clinical Significance
Cocaine dependence with other cocaine-induced disorder captures cocaine-induced conditions in dependent patients that do not fit the standard specified subcategories. This may include cocaine-induced obsessive-compulsive disorder, cognitive impairment, tic disorders, or other neuropsychiatric conditions attributable to chronic cocaine use. The 'other specified' designation indicates the provider has identified a specific disorder but it falls outside the enumerated categories.
Documentation Requirements
- ✓Provider documentation of cocaine dependence
- ✓Specific identification of the cocaine-induced disorder (named condition)
- ✓Documentation that the disorder is directly caused by cocaine
- ✓Explanation of why the condition does not fit more specific F14.28x subcategories
- ✓Temporal relationship between cocaine use and the induced condition
- ✓Clinical impact and treatment plan
Commonly Confused Codes
- •F14.280 — Cocaine dependence with cocaine-induced anxiety disorder: use when anxiety is the specific condition
- •F14.281 — Cocaine dependence with cocaine-induced sexual dysfunction: use when sexual dysfunction is the condition
- •F14.282 — Cocaine dependence with cocaine-induced sleep disorder: use when sleep disorder is the condition
- •F14.29 — Cocaine dependence with unspecified cocaine-induced disorder: use when the specific disorder cannot be identified
- •F14.188 — Cocaine abuse with other cocaine-induced disorder: use when the pattern is abuse